Laserfiche WebLink
� �r �r rr ■s rr rr rr r a� rr <br /> Billing Information <br /> CLS LABS I � <br /> CHAIN-OF-CUSTODY RECORD Page <br /> 3249 FITZGERALD ROAD CA i V ,.." r 1 of i <br /> 9 <br /> Alpha Analytical, Inc. WorkOrder : CLSO4071640 <br /> RANCHO CORDOVA,CA 95742 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355-0406 Report Due By : 5:00 PM On : 16-Jul-04 <br /> CLS Labs Mark Smith <br /> 3249 Fitzgerald Road TEL (916)638-7301 EDD Required Yes <br /> FAX (916)638-4510 <br /> Rancho Cordova,CA 95742 Job CNG04691Former Unocal 5098 Sampled by Client <br /> Report Attention Mark Smith PO Client's COC# none Cooler Temp 4°C 16-Jul-04 <br /> CC Report <br /> QC Level 1 = Final Rpt Only <br /> Requested Tests J <br /> i <br /> Alpha Client Collection No of Bottles ALCOHOL � <br /> W <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# i Sample Remarks <br /> SO4071640-01AI MW-28 -- AQ 07/14/04 2 0 1 <br /> CLLowLc.ei <br /> 1220 McOWEtOH <br /> CLSO4071640-02Ai MW-29 ; AQ 07/14/04 2 0 1 Low uYci <br /> 1515 McOH1EtOH <br /> CLSO4071640-03Ai MW-30 I AQ 07/14/04 1 2 0 1T Low Ec+'ci � -- --— - — - ---- <br /> 16 55 I I McOHIROH <br /> Comments Custody seal Frozen ice.Per fax from client TAT is 24hr <br /> Signature Print Name Company Date/Time <br /> j Received by <br /> t Alpha Analytical,Inc 3 ft)( ¢);!)o <br /> MOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC The liability of the laboratory is limited to the amount paid for the report <br /> Matrix Type AO(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />