Laserfiche WebLink
j CM A 1L �� 0�ipker <br /> pea ive ooW, CAN63 J") 36 0 AW50 <br /> /`1 ❑ 819 Ave�te 8 - Sacramento, CA 95834 • (916) 921-9600 FAX 916 921-0 <br /> 1W CHAIN OF CUSTODY © 404 N Wiget Lane -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 958-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> Company Name A'C, AsLc<1cAvs lf�F . Protect Name `a41" (KO t" l 1.74.12 0001 <br /> Mailing Address ��� , CIA hA A Je. ; Billing Address (if different) <br /> Cityl{s State CA Zip Code ' <br /> Telephone I()c .) -22 1FAX # .G77-004?5 PO # a <br /> Report To AGS,w v K)VA 1,f::!J Sampler -� T-lo r - OC Data evel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround VO Working Days ❑3 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses Requested <br /> d <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water �. <br /> ❑ 5 Working Days ❑24 Hours VOther6 <br /> k 4 <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> aComments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 W-1 027164 toz ° s <br /> 0 <br /> 2 <br /> co <br /> 3 3 <br /> a <br /> 4 } <br /> 5 <br /> 6 <br /> 7 5 <br /> 0 <br /> Z) <br /> Cr <br /> 8 °' <br /> 9 � <br /> 10 <br /> Relinquished By A b—#-, Z- .t,/ Date of ze-y Time Received By f i{r ( Date J -1-y5 Time // y 3 <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date TimeReceived By Lab Date Time <br /> Were Samples Received in Good Condition'? 0 Yes ❑No Samples on Ice? CA/es ❑ No Method of Shipment ea)r i -;r Page I of <br />