Laserfiche WebLink
❑ 885 Jarvis Drive • Morgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> UOIA <br /> f,•:.`:; >419 Striker Ave., `;;,;;:;::; 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01; :.ti NA <br /> ANALYTICAL <br /> [_t 404 N.Wiget Lan6� i/Valnut Creek, CA 94,598 • (925) 988-9600 FAX (925) 988-9673 <br /> U 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> moi/ CHAIN OF CUSTODY <br /> 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name: Ak Asw_ti Gs Project Name: 1L-�Or� ��r�>� t ��►[c f�. Zc; �,p <br /> Mailing Address: L- ! Ave + Billing Address (if different); <br /> City: �A Lk State: 611— Zip Code: gS-3S) <br /> 4 <br /> Telephone: Z flg1_ ?q - -'Z l FAX #: Zoc TQ- Z y P.O. #: <br /> Report To: r Sampler:ale QC Data: �evel D (Standard) ❑ Level C Ell Level B ❑ Level A U <br /> Turnaround -10 Working Days 3 Working Days ❑ 2 -8 Hours U Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water d <br /> 0 5 Working Days Ll 24 Hours Other <br /> Client Date/Time Matrix # of Cont. Sequoia's � <br /> Sample I-D. Sampled Desc. Cont. Type Sample # Comments <br /> q0 VAt <br /> .o <br /> Cr <br /> 2. <br /> 3. k\V\UIJ ' 13/0 -63 0 <br /> 4. <br /> 5. <br /> iYtl �' S <br /> 6. )til w 1�150 .5 ✓ <br /> 7. cu <br /> .o <br /> Cr <br /> 7 <br /> B. <br /> 9. <br /> 10. <br /> Relinquished By: Time:Date: 7� �� <br /> � .� , Received By: Date: 7_ f 5/ Time: -:3 .Z.� <br /> Relinquished By: � — Date: '-7 Time: Received By p a Date: �`t`�L Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: Time: <br /> Wei(3 Said Ales Received in Good Condition? l�! � / <br /> t �Yes �_t No S��n�iples on Ice? ✓e#-Y�s U Nn Method of S1�Ipme+�i � �}{���(�'. 1 Page P of 1 <br />