Laserfiche WebLink
a15CienCe 7440 LINCOLN WAY <br /> CHAIN OF CUSTODY RECORD <br /> nvironmental GARDEN GROVE,CA 92841-1427 DATE: �7 r2XV// — 1 <br /> Ajw ahoratories,Inc. TEL:(714)895-5494.FAX:(714)894-7501 PAGE: J OF <br /> LABORATORY CLIENT: CLIENT PROJECT NAME/NUMBER: P.O.NO.: <br /> SAIC <br /> TRACY PUMP STATION/26011 S154A-R10-410 <br /> ADDRESS: <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT: :JALI <br /> CONTACT OR QUOTE NO.: <br /> CITY: STATE: ZIP: Justin Sobieraj <br /> OAKLAND CA 94607 B.Kemp <br /> SAMPL (5):(SIG ATU ) LAS USE ONLY. <br /> TEL: PAX: E-MAIL: ©_...,.•••••, D <br /> 510-466-7119 510-446-7919 sobieraj .coCsaicmEl <br /> TURNAROUND TIME: <br /> 13SAME DAY ❑24 HR El48 HR ❑72 HR 5 DAYS ❑ 10 DAYS REQUESTED ANALYSIS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑ RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL <br /> SPECIAL INSTRUCTIONS: <br /> Please analyze for 18 PAHs. <br /> m m m <br /> LAS LOCATION/ SAMPLING NO. y k <br /> USE SAMPLE ID <br /> DESCRIPTION MATRIX OF d Q F <br /> ONLY DATE TIME cONT. 1— a m <br /> w 3 s I <br /> 2 15 <br /> >k- 0d6, , <br /> Emm <br /> 1 <br /> Relinquished by:(Signature) Received by' Dpi Z, / T!me <br /> Received b Date: Time:na re) <br /> eli I by: Si ure) Y� 9 � <br /> CID <br /> Re inqu shed by:( i nature) Received by:(Signature) Da : Time: (D <br /> 1036 w <br /> 02/24/10 Revision <br /> W <br /> v <br />