Laserfiche WebLink
AW ANALYTICAL,INC EQUIVA S es LLC Chain Of Custody Record Is <br /> Equlva Project Manager to be invoiced � t�11irt1f� �t6SiC=YS' <br /> 9521 Folsom Blvd Suite CoI ��-�rY�O` '� S 5 Z, S DATE <br /> Sacramento CA 95827CHMrcA1,SERv[CEs,j C (�"' �[3�S � �,er�, rrinRM�tUliffa ,4 [$E3AAl '� ! <br /> (916)366 9069 (916)366-9138 fax I CRatrtlW�rON �js ��- 55�� <br /> CONSULCCWPA iE ADDRESS iSir■■t■rM City) <br /> �lZc (.L� 1�2 �� �• La��, L r <br /> ADPR S8 <br /> �C1 ZSR PR6JECT CPNTaCT(RWw1l b) / Co""'LTANr PROIEC ND <br /> p SAMPLER <br /> NAUE(S)IPh <br /> LEPHO �/f <br /> N Ful —E— <br /> Ge-0-70 MCt MT'�'7 i/}l <br /> `. <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> L� 10 DAYS j 5 DAYS ' 72 HOURS _, 4B HOURS-14 1+ S Ptt` REQUESTED ANALYSIS <br /> � LESS THAN 24 HOURS <br /> LA RWQCB REPORT FORMAT I UST AGENCY-- <br /> GCIMS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL—TEMPERATURE <br /> r $ d FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT C' ,NW( 'S <br /> o g m m Contalner[PreservatLve <br /> h fpE w <br /> t e rn or PID Readings <br /> /J I +41\'•�L .�g'T- Q�I �L?t-a I�[.err-J l�?�7.-°Ti�Ltc m p C $Ye ,g r� 4 or Laboratory Notes <br /> rf 13 m Oft A <br /> a C _ uxOft <br /> zcri <br /> � Rt m p + U a��r' •I.� U. <br /> O � d m Y U S <br /> SAMPLING NO OF Z = l) W st N e 6 6 s 6 N <br /> Field Sample ldentlflcatrOnDATE TIME µ4iRa coNr w w >" > i <br /> Pa�G Z -�Y� Ir Iris <br /> r'0 <br /> r� <br /> 3 t J <br /> f <br /> R.Ilnqunh.d by'IS lure} R—Ned by ISign■twe) Dal* Tim. <br /> F.'.1 I? P.9-�-M y"//-o/ / <br /> R.Inquuh*d by ISootue■) R...rc■db [SVgnaturel t * Date Tim* <br /> 1 /20 T7hed b'1800ul.) Re- t C■1■ T'^" <br /> DISTRIBUTION White with Gn.i sport Gft n to Foe Ye4m end Pink to CWM 1[123!00 RWm <br /> l V <br />