Laserfiche WebLink
K 2795 2nd Street Suite 300 ROW <br /> Davis,CA 95616 <br /> Analytkal uc Lab 530 297 4800 SRG#1 Lab No Page 1 of <br /> Fax 530 297 4802 — <br /> Projed Contact(Hardcopy or PDF To) California EDF Report? OYes El No R Smith Chain-of-Custody Record and Analysis Request <br /> Company/Address Sampling Company Log Code Analysis Request TAT <br /> Horizon Environmental Inc HEIE <br /> Phone# Fax#- Global ZD El91B 939-2170 916 939-2172 T0607700064 xo 12 hr <br /> Protect/! P O # EDF Deliverable To(Email Address) ❑ <br /> 1011042 Contract o <br /> Protect Name Sampler Signature c m w N 24 hr <br /> USAP 110 <br /> v e <br /> 1 ~• � 4 _ � N � W � 4 � � ❑ J <br /> Protect Address Sam Container Preservative Matrix ® a _ <br /> c� 3 a 48hr � <br /> W <br /> Stocktona a W COEl <br /> ° W x a 2 72 hr <br /> LU w <br /> 3 3 = w ✓ <br /> Sample Designation Date Time in o a (7 H x r z v� �, r` > > } F 3 <br /> MW-1 2/27/2oo6 1 3 x 1XI x x x X1 x <br /> MW-2 2/2712oo6 31 1 1 1 x I x X1 x x xi I I I I x 0 <br /> V MW-IP =7/2006 IZ 31 1 Ix x x x x x <br /> x <br /> MW-2P 2/27/2006 31 1 1 x x I I x x X1 x x It,MW-3P 2127=06 MCA 3 x x x x x x x <br /> VI►-4P m7rmm 4 3 x x x x x x x <br /> MW-5P 2/27/2006 11141 3 x x I x x x x x O <br /> MVH-6P 2/27/2006 WN 31 1 x Ix I Ix x x x x <br /> 16 <br /> Relinquished by Date Time roed <br /> Remarica Standard TAT <br /> Dfar�d►r► �.h 2�'L�O� i1�'X? <br /> Relinquished by Date Time Rereived by <br /> Bill to Horizon, G Barker <br /> Relinquished by Date Time Received by Laboratory For Lab Use Only Sample Recelpt <br /> WTemp•C InEtials Data Time Therm to# cna.a P <br /> DlstriWm While-Lab Pink-origmator (l11 ! NG <br /> Raw 0511105 <br />