Laserfiche WebLink
Former <br /> er Unoal 95D98 S <br /> dre 6747 Sierra Court, S111te J w NO AL Protect Manager Nick NIcke rson 9.16-7-14-3ZD5 <br /> Cdy. nubli�t State CA ZPp Cc do, 94568 AFS tf• - --- <br /> Teiephono. r� FAX#; Site is.City, Stato- `+ <br /> 925 551-7555 925-551--7899 5{19$ 54110 b 5606 Vacs le- Ayc 2 StackCan Gil <br /> Report To Bean"a L. Harding Sampler 1f , ' QC[tale A Laval 0{Statcraq ❑Level C Ll Levet B 0 Level A U <br /> x <br /> Tarnaw nit to wore.Days u S Work Days U 3 Wark Days Diinkng W.-taur Analyses�iequested � <br /> Orme- <br /> ?c 1. 2 Mork Days ❑ tt+wCa4k Day ❑2 l�G�rfs 7 <br /> Waste WaleAV <br /> _ <br /> COM; U Misc Q Dolect 0 E vat Q Remed. i]Demol U Glosure U C]thEsr <br /> Client Uboralory - <br /> Sample t D Sampled Desc I Gorst. Tyre Sample It r� '� ti� Comments <br /> — IAN(U,1,20CA, <br /> .-Ie--- <br /> _V <br /> X� <br /> 5L _ <br /> Relinquished 8y vate1 Time•J IR Received lay ala _ 11� Time. ft <br /> F4MInqu€stied By Data. Time Recolved By, Dato. Time- <br /> Rellrtiquished By, - Date. Tame Recowd By lib: Date. Time: <br /> tears Samales Rece�uect!a Goats C:orrdrhnnv Ct Yep U tea SRmples an lee-7 UYes Q No Method vs Shipment page___.o f <br /> To be completed upon receipt of report, <br /> i)Worm the analyses requested cin the 014n of Custody reported? U Yes Q No if no,what€i:iialyses are still gmdedv _ <br /> 2}Was the report issued Mini the requesled lurnamund timer Q Yes 0 No, It r►o,what was 1110 turnaround Lima? _ <br /> Approve#by.��h � - f �4J�r r/ Slgrtatt}re ' ' Company,_ Usto �r <br /> P r� <br /> kt <br /> V�� <br /> +s, <br />