Laserfiche WebLink
0o rJn or� .1us urs)�bu rts[ <br /> O�ANALYTICAL ALS 455 McDow d, Suite D • Petaluma�CA 94954• (707 792-18 FAT 2- 42 — <br /> Q Striker Av it 8 • Sacramento, CA 95834. 916 921-9600 • FAX 916 0100 <br /> ❑ 819 St ker u e e ( ) ( ) <br /> W-1 <br /> OF CUSTODY ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 * FAX (650) 232-9612 <br /> ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 <br /> Company Name Project C `\ <br /> Mailing Address Billing Address (if different) <br /> City State Zip Code <br /> Telephone Fax# PO # <br /> Report To 8 E-mail Address QC Data Level II (standard) ❑ Level III ❑ Level IV <br /> Sampler a 2 Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround A 10-15 Workirb Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please rovide method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours Q CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardq.js a to <br /> Other �`,�'� <br /> r 1C <br /> Client Date 1 Time Matrix #of Con iia s i Comments/ <br /> Sample I D Sam led Desc Cont T Sample # Temp(If required) <br /> 1W- ...r5— 611102 <br /> � t�aMVY • '� <br /> t 'n <br /> 2 MW-Y-60 "61(0(D2.1 /030 <br /> 3 MU)-3- 57 61610Z 11x5' ' <br /> jV G! ��. lZ <br /> 4 of�' Q °sfk <br /> l2 X � <br /> MV)- f ,w ' <br /> 7 <br /> 61&1021 tt3,� <br /> 6 7 <br /> jj <br /> 4A <br /> F <br /> 10 M10-3-4d <br /> Relinquished By Date 1 Time 4:1-62- <br /> Relinquished By Receive Date 1 Time -1 p <br /> Relinquished By Received By Date 1 Time <br /> Relinquished By Received By Date 1 Time <br /> Were Samples Received in Good Conditions Yes ❑ No Samples on Ice? Yes ❑ No Method of Shipment Page 12 of <br /> White Sequoia Yellow Sequoia Pink Client <br />