Laserfiche WebLink
SPARGEOCHNOLOGY, INC. g� OF CUST�DY RECORD <br /> 1Analytical Laboratory Phone (916)362-894p,4, HA1N <br /> -' C.O.C. No <br /> 3050 Fite Circle,#112 Sacramento,CA 95627 FAX 916 362-0947 Page4z— Of STAL Invoice Number <br /> 1k <br /> Company -t=7+HH`Fr_._.F,1 Phone 01b(0--3LOO ANALYSIS REQUEST <br /> Project Manag r FAX Dw-lx%ce> REMARKS Sampler's Name <br /> Report Address Billln Name&Address <br /> „ SvUkN-,Com. CtC 3 Ail None Some <br /> Project Name Protect/Job# OK OK OK WEf STLC <br /> Cooler Temp °C <br /> Project Location Po#- Sample Condition TCLP <br /> SuDr—�Cjl- pH <br /> Preservative TCLP Total <br /> Sampiing Container Used Matrix TAT <br /> ui <br /> 00 <br /> o � <br /> c <br /> o c - <br /> �n m i N10 v <br /> o z <br /> a cp <br /> 00 m <br /> N O b N S D C <br /> m �r U1 Ln 0. U <br /> o a a N m � a <br /> o E w a N <br /> LL1 a a `o a o o ` <br /> O U co N m ca V, O t co <br /> Dm m ii p ao m c`o coo opo n_o c_-10 il_Q oe � � <br /> m E= E z m X (0 raa m w w O c a r <br /> o .moi ,a 5 C7 0 m o ul F a 0. 0. g Aa. g o o Q m uj <br /> o <br /> NO SAMPLE ID Date Time cu o z O cn a Z] m m E- w W u.1 w W w h z o c� [� _, us ac s <br /> 1 ""A ion kwil <br /> 3 <br /> 4 <br /> 5 u <br /> 6 <br /> 7 <br /> s <br /> 9 <br /> 10 lit <br /> e gall Ing Re"e Relinguished by Received by <br /> Date �Z/LOZ Time $ 2 Date Time Rate I Time Date Time <br /> PLEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />