Laserfiche WebLink
.y <br /> v _ <br /> LJ p ❑885 Jarvis Oriva•Morgan Hill,CA 95037■(408)7x76-9500+FAX (408)782-&WB <br /> 819 Striker Ave., Suits a•Sacrarnentn,CA 95854•(916)921-0600• FAX(916) 921-0100 <br /> [�404 N.Wiget Lana•Walnut Creek,CA 94599■(925)!088 E00*FAX($25)988-9673 <br /> T 0 S(51 4;6 0 [J 1455 McDowell Bivd.Borth,Suite D•Petaluma,CA 041}54,+(707)782-1866■FAX (707)792.0342 <br /> p ❑1551 Industrlal Road•San Carlos,CA 94070■(650)232-860+0•FAX(650)232-9612 <br /> Consultani€ompany: � �jr� � � Tosca Engineer: ----- <br /> l._ . - <br /> Addieas; 1- y ] f76 3` ' <br /> City: p� State: Zip Code: P <br /> 'ikeAddress: <br /> Telepnane: ¢ Fax#: ?�T - ddrrrali: v City,$iatv: _ rf'Vf <br /> Repgrt To: �/ { Sapler; U <br /> _ G�• m <br /> (�`� tr � r 4C pate: �Leave) a (Standard) f�Level C (�Level k3 ❑l.t�v61 A � <br /> Tumaround iQ Work days ❑5 Work Qays Fj3Work Days ❑Drinking Water Analyses Requested <br /> 7im$� 3 Work Days E]i Work Day El2-8 Hours L)Waste Waxer <br /> ❑ CKher <br /> Fro�eck Coding_ r Ind" __ - <br /> - Clism Dateriime Matdx got Cont. sequofe4 <br /> Samplo I.D. Sampled Dasa, Coni. IYPe Sample# O Q '. nrrrmants <br /> i VV <br /> IXIar+q- 3 - — _.......4. <br /> mw 3 VO <br /> EY <br /> .., EY <br /> IT <br /> 1a. --- <br /> iFk4linCl►riShpd Sy: Dale: Tim B: _ FCscaived BY: Do <br /> fielinc}�Tsllccf fay: - bate- Tirrle` _ Received B f]at �0 Time: t(ice <br /> Reli ulahad BY; oafs: Time: Received By. __•. bate; _ Time: <br /> Werti Ssm*s Rccutvod In Gaal Condition; []Yes [Dfoo Samples on Ice? L]Yes [] No Method of Shipment- Page_. .._of <br /> To Ira complotcd Upon mcfpt of report: - <br /> 1)Were the malyses requested cn the Chain or Custody reported? 'Yes D filo If no,what analyses are skill needed? <br /> 2)Was the report Issue[f within lf�e requested turnatound tlrrio? es ❑NIO If no,what as 1ti9 urnarcund lime? <br /> Approved by: O&-%A: VO FIr Signature: +Cam an pate: 7Q <br /> p y: <br />