Laserfiche WebLink
L L L L L L L L L L L L L L L L L L L <br /> CHAIN OF CUSTODY P"CORD <br /> Company Contact(s)for Invoice: DATE: <br /> I_ <br /> �L C' PAGE: <br /> iectiriical Services <br /> OF�_ <br /> ..................... <br /> CONSULTANT SITE ADDRESS: <br /> SECOR International 401 r C S <br /> ADORE55. <br /> 3017 Kilgore Road PROJECT CONTACT: CONSULTANT PROJECT NO.: <br /> CITY: <br /> Rancho Cordova CA 95670 SAMPLERS.(SIGNATURE) t ;..ForY: ; :;: `::.: : : :: <br /> TEL: FAX E-IMIL n n <br /> 916-861-0400 916-861-0430 ""'""' ' <br /> TURNAROUND TIME(BUSINESS DAYS) I.. REQUESTED ANALYSIS <br /> 10 DAYS,• 5 DAYS E] 72 HR [] 48 HR 0 24 HR Q <24 HR LL I,- <br /> W <br /> O LA-RWCCB REPORT FORMAT UST AGENCY: J s ° m <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL h v „Nar, w O <br /> A m N O <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON do <br /> (C) IM %O m i w C c <br /> I'llQGts� p it.C� a 5 a► � � QND� do w n �+r�c."Ai in o m m ~ w Q I Z <br /> Global ID 6 S f1l t ' a tae o ° m O1 C m <br /> T ON /�O iso q.QK/ Ey 1 m e w O a oS J m O_ o <br /> Pot- -PPf-91 MT6616TEX - 6� t eek tcJ 13O6-SAo a m A y ; m m LL to c� c a <br /> -- Q a <br /> aqd Pr e_1- m m x _j G m m K o m <br /> I x a P U. o - H v e Z > O U. a <br /> a w m h w c „ = A c A `o o `o `o m <br /> SAMPLING MAT• NO.of = = W = V m a m CL « E = a a a a a L <br /> Field Sample Identification Rlx �«�*. a s ►- a o L m m m W f7 to lO C1 <br /> ONLYDATE TIME H F m I- > � w � r f U, y > > > <br /> 7 t4 <br /> 5 <br /> _ _g ' to { <br /> -.3-S' ' I I oS S <br /> {1Ot� S r <br /> • -�i - 3 { s <br /> Re wished by.(Sig re) R we y. S' ature) Date: Time <br /> S-1 q-06 57.1 e-1oP <br /> Re-11 uis b ignature) J/ Received by.(Signature) Date: Time: fV <br /> _.�Zfta�iL O <br /> Relinquished by:(Signature) Received by:(Signature) DL <br /> Time: N <br /> A?��L 5 )OCa1 100 <br />