Laserfiche WebLink
i FGL ENVIRONMENTASCHAIN-OF CUSTODY <br /> 2500 STAGECOACH ROAD • STOCKTON, CA'0215 (204) 942-0181 • FAX 209 • <br /> f { } 942-0423 Lab Number <br /> Client r C l %? ,- Project Name s 3 `7DES <br /> MATRtx CODES <br /> j f CONTAPRESERVAT15/ES <br /> Address �— -3 �Gi ri �r rProject Number �` BT. agars Drinkmg water SP - Spike s HNa, <br /> aty � d�i Sfate (f� fl .GtasaOW Ground Water 9W Surface Wats C NaOH <br /> Zlp Contact PersoD L achaw W'W� D H,SO, <br /> P . PlasticMonitoring Wall Wi -Wipe E Zn Aoeiaa <br /> Phone -7103 -Waste Water F ROA <br /> // v. VOA ViFax Sampler (pnnt) _�/1 i o_ otherii x M Othm G Othmer <br /> I <br /> SAMPLE NUMBER/I D LOCATION/DESCRIPTION DATE TIME a �—'° ANALYSIS REOUESTED 11 <br /> SAMPLED SAMPLED _ z 3 CONDITION OF INITIALS <br /> iris s a � M� ,� �'� SAMRE E UPON <br /> �' <br /> PT <br /> �� �E <br /> All <br /> � <br /> 14/ 1 i V <br /> /43144 Ir <br /> S <br /> 0 C 1510 + <br /> /p a /s2s <br /> /6/0 r <br /> COMMENTS ' ��f/f ✓ /i%�[ A! rj.r,L a� (jrJ R ISH BY SATER taATE/TIME -RECEIVEDr <br /> 11,jAe0- 't 7/7/,I ! S f�,7, l r ME <br /> // RE Der <br /> -� � .� <br /> f��s fives �, DATErnMEcEivEl BY DATE/ ME <br /> PA # <br /> RELINQUISHED BY DATEITIME DECEIVED BY <br /> QA/QC Required?Y— N_ State Farms Required?Y N!' °ATEITIME <br /> Tum-around Time Normal Y Rush REUNOUISHED BY DATEITIME RECEIVED BY!A I <br /> s Isu*a to Surcharyej DATE/TIME <br /> CORPORATE OFFICE & LABORATORY 0{'✓ <br /> C/S Xd � ' LPA BOX 272, 853 Corporation Street � t,0 <br /> _ 4(.1/4 (/,,1: PA FIELD OFFICE <br /> Santa Paula, CA 93060 ✓ [ ',�, r 7 _ Y;y3�7� Visalia. California <br /> w Telephone (805)659-0910 y 1 2 / 1, <br /> Telephone (209) 7349473 <br /> Fax (805)526-4172 WHITE Laboratory Copy YELLOW Customer Co Mobile (209)738-6273 <br /> pY PINK Field Copy Fax (209) 734.8435 <br />