Laserfiche WebLink
80; 'Clesapeakelprive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9 <br /> rU.9yO�A ANALYTICAL U 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> 1W CHAIN OF CUSTODY U 404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> U 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: ASS( 4 _ _ Project Name: <br /> Mailing Address: /1�6 Billing Address (if different): <br /> City: Slater Zip Code:IS3 � <br /> Telephone:209- 5-7c). 22Z ( FAX #:zm_5?1„ tee S P.O. #: LD <br /> Report To:bS� Sampler.� '�~ QC Data: Level D (Standard) U Level C ❑ Level B U Level A v <br /> Turnaround wr6oworking Days U 3 Working Days U 2 - 8 Hours ❑ Drinking Water Analyses Requested <br /> d <br /> Time: U 7 Working Days U 2 Working Days ❑Waste Water <br /> U 5 Working Days L124 Hours �+� l titherV <br /> Client Date/Time Matrix # of Cont. Sequoia's �+� <br /> Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # ti <br /> (,:r 41D VKN 0 A S <br /> 1 VQ 7K0 <br /> 2. lq20 L/ <br /> 4. <br /> 5. <br /> e <br /> 6. <br /> ro <br /> 7. o <br /> 7 <br /> Cr <br /> 8. U3 <br /> w <br /> 9. + <br /> 10. <br /> Relinquished By: Date:091 9 Time: q°�-� Received By' Dq . ate: Time: j,Z,' <br /> Relinquished By: (� ? Date: ; qy Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date:,714-(--7 Time: <br /> Were Samples Received in Good Condition? �s 0 No Samples on Ice? 61es ❑ No Method of S ipment_C_ML_r c V__1C_ Page _1_of_�_. <br />