Laserfiche WebLink
80 Ch k e • H�wooMi y�CAM3!" 364 0 FI"50) 9 -� <br /> UOIA-ANALYTICAL ❑ 1 Straker Ave - - <br /> 8 9 e e 8 Sacramento'CA 95834 +(916 921 9604 FAX 916 921-011 <br /> F { ) ) A a <br /> CHAIN OF-CUSTODY , <br /> J 0 404 N Wiget Lane 'Walnut Geek, CA 94598,-'(925) 988-9600 FAX (925) 988-9673`--' <br /> ❑ 1455 McDowell Blvd North, Suite D'• Petaluma,CA 94954• (707) 79211865 FAX (707);792.0342 " <br /> - Company Name AT, Assn-%AkS �.� ,• Protect Name <br /> ACA Amin 1025ct=:A� <br /> s <br /> Mailing Address 11.0rq • Billing Address (if different) _ <br /> .v ;. <br /> X11 - • State Zip Code _ y <br /> -. Telephoned C.� _ _��>'' -FAX# 91,Q. _ ' ",PO'`# <br /> 'T Report To 1+4v,] _ -� . 'Sampler ` ' ' vacs �s` ;r QC'Data`,L Lev <br /> qel d(Stan ©dard} � Level C 0 Level4B 0 Levef{A- " V Y2L <br /> Turnaround 0 Working Days t❑3 Working Days 'r ❑2-S Hours `El Drinking Water Analyses Requested <br /> - r Time _ 0 7 Working Days CJ 2 Worlung Day x, r - - r <br /> = r3 a $^ �; i 0 Wa to Water'> <br /> _f — *�' t� h < »' .�•" i _ _ ti h, �, > ..yt e' �5 ''�+. t, <br /> Q 5 Working Days ❑24 Hours _ , - - y + `�� ..' they F" � 5 rr 1 'ti rs •--°-L V 'y' _ - 1' '�"j'-y <br /> Y-Chent Date/Time Matrix #of Cont Sequoia's_: Commentst' <br /> Sample I D Sampled Desc Cont Type Sample # ' <br /> _ <br /> L to"! �-s- <br /> - <br /> 2 �'/ <br /> A& <br /> 11T Cr <br /> � , <br /> 3 re <br /> _o <br /> 4 F I <br /> r <br /> 6r . r u~. = - - - -� - - <br /> ' ' TV N <br /> co <br /> w, o <br /> Crcn <br /> g -- <br /> .c <br /> k = 10 <br /> Relinquished By ,11� _ Date oklil itTime . Received By IQ � DateOR14le Time _ <br /> Relinquished By Date Time Received By _ ` ' Date Time _ xv <br /> Relinquished By Date Time Received By Lab -'' Date - Time Y4�, <br /> Were Samples Received in Good Condition? 0 Yes 0 No Samples on Ice? 04es ❑No Method of Shipment �y'��'� Page E of_3; ; <br />