Laserfiche WebLink
_ 2795 Second Street, Suite 300 Calscience <br /> KIFF Davis, CA 95618 7440 Lincoln Way ff7- <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 <br /> Analytical LLC Fax: 530.297.4808 714-895-5494 COC No. 75042 Page 1 of 2 <br /> Project Contact(Hardcopy or PDF to): EDF Report? YES Chain-of-Custody Record and Analysis Request <br /> Troy Turpen <br /> Company/Address: Recommended but not mandatory to complete this section: <br /> Kiff Analytical Sampling Company Log Code: SIRC Analysis Request TAT <br /> Phone No.: FAX No.: Global ID: SL0002050099 <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.O. No.: Deliverables to(Email Address): O >. <br /> 211402828.300.250 75042 inbox kiffanal tical.com Q o <br /> Project Name: Container/Preservative Matrix w � <br /> Parcel#2A-4Q10 Monitoring and Sampling ,p <br /> Project Address: Sampling `o m <br /> Z o 0 <br /> LL <br /> Sample E W <br /> Designation- g Date Time <br /> 2A-MW-12 10/20/10 09:06 2 XX X 1 <br /> MW-18 10/20/10 13:00 2 X X X Z. <br /> MW-21 10/20/10 05:55 2 X X X <br /> MW-27 10/20/10 10:55 2 X X X �- <br /> MW-28 10/20/10 .11:25 2 X X X S <br /> MW-31 10/20/10 11:55 2 X X X <br /> MW-42 10/20/10 06:56 2 X X X <br /> MW-59 10/20/10 09:54 2 X X X1 S- <br /> MW-60 10/20/10 06:45 2 X Ix X <br /> MW-62 10/20/10 06:00 1 2 X X ]XI <br /> R 'nquished by: �r��% Date Time Received by: Remarks: Parcel#2A project has special pricing for <br /> SVOCs of$185 per sample. <br /> Re nquished by:1 Date Time Received by: <br /> Relinquish by: a Time Re ived b Lab ratory: Bill to: <br /> �''� C Accounts Payable <br />