Laserfiche WebLink
QUOIA ANALYTICAL ',680 Chesape*eurilte <br /> ve - Redwood City, CA 94063 - (65�', <br /> 364-9600 FAX (650) 36 3 <br /> U 819 Striker Av8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921- 0 <br /> qW CHAIN OF CUSTODY LJ 404 N Wiget Lane -Walnut Creek, CA 94598- (925) 988-9600 FAX (925) 988-9673 , <br /> ❑ 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> Company Name To„ `4 Protect Name 5,,,q D Frc..ntct.vN s� i H St�naa <br /> Mailing Address \wi �` �r��� ur Billing Address (If different) ' <br /> City�\r o State A Zip Code -( S3(7 1 <br /> Telephone �+ Zz -z FAX # ZCri S 7y ZZ PO # <br /> Report To -r 4 � Sampler- -Z,iL %v%c\ QC Data *Level D (Standard) ❑ Level C 0 Level B ❑ Level A v <br /> l <br /> Turnaround 10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested S <br /> Time ❑ 7 Working Days LJ2 Working Days ❑Waste Water Q_ <br /> ,yU y <br /> ❑ 5 Working Days ❑24 Hours Other <br /> b <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample # ��� Comments <br /> L- -µ•Ct9 S <br /> 1 �]5V ' l+v Iv 12 5`� 5 ( 1 5 e t C �I_ti 1 s <br /> f W <br /> O <br /> 2 t.6 DI j4-NNN t;--. <br /> rn <br /> 3 -1+- \w --5S ' <br /> V v o <br /> 5SSS -1; P►•�I (c, 13 q <br /> 6 I` <br /> s 7 ca <br /> 0 <br /> Cr <br /> 8 s <br /> 9 <br /> L <br /> 10 <br /> Ay <br /> Relinquished By -� - Date Z Time /o v Received By Date Time 9 J.- <br /> Relinquished By Date.�� Time ljbC) Received By Date L' J Time J <br /> Relinquished By r _ _ Date / TI e /y/ljl ReFceived By Lab�' Date 3-J-y� Time / ,3I <br /> j <br /> Vere Samples Received In Good Condition? UYes , �a Samples on Ice? Q Yes ❑ No Method of Shipmen Page-of <br />