Laserfiche WebLink
ITS -TabS CHAIN OF CUSTODY CLS ID No.; LOG NO. 59322 <br /> REPORTTO: CLIENT JOB NUMBER ANALYSIS REQUESTED GEOTRACKER: <br /> NAMEAND ADDRESS OGC)"l p3 46-o <br /> .P 61 <br /> DESTINATION LABORATORY EDF REPORT ❑x YES ❑ NO <br /> CO aLo �w �, 1 &� GLOBAL ID: J�GG��I;oSrZ1�I <br /> i,C o4v 6A CLS (916) 638-7301 <br /> 3249 FITZGERALD RD. COMPOSITE: <br /> PROJ CT MAfJpt3sF✓ e PHONE S 9 r RANCHO CORDOVA,CA. (1) <br /> PROJECT NAME 95742 IT1 <br /> moAeke UT"ri1C �at, as m <br /> 5AMPLED5Y \ W16 ❑ OTHER n FIELD CONDITIONS: <br /> JOB DESCRIPTION <br /> m <br /> CA TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION �1 OR <br /> DATE TIME SAMPLE CONTAINER J o p m o o <br /> IDENTIFICATION MATRIX NO. TYPE ALT. ID: <br /> T <br /> O lN5 Mw . I )0— I. Poi t 3 X JC <br /> 1630 M W .10 <br /> ilso w-3 ro <br /> ILoo Mw ,)Lf <br /> i'L 50 AAw- l <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTfR1ENTS PRESERVATIVES: (1)HCL (3)=COLD H.SO. (7)- <br /> (2)HN% (4)=NaOH (6)=N%SA <br /> RELINQUISHED BY(SIGN) PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> REC'DATLABBY: DATF�/ ME; CONDITIONS/COMMENTS: <br /> SHIPPED BY: ❑ FED X ❑ UPS ❑ OTHER AIR BILL# <br />