Laserfiche WebLink
Analysis Request&Chain of Custody Record <br /> Lab icbNo.: Page: I of <br /> ORANGE COAST ANALYTICAL,INC. www.ocalab.com <br /> 3002 Dow Avenue,Suite 532 4620 East Elwood Street,Suite 4 ANALYSIS REQUEST/PRESERVATION <br /> , <br /> TustinCA 92780 Phoenix,AZ 95040 <br /> ...... REQUESTED <br /> Phone. 1714)832-0054 Fat,(714)8-12,0067 Phone:(4 90)7216-0960 Fax:(490)736-0970 <br /> TURN-AROUND-TIME <br /> CUSTOMER INFORMATION PP.OJECT INF09MATION Standard: X <br /> Company IEH-JL Analytical Project Name: cutter Lumber <br /> Send Report To: Crystal McNabb Project Number-. 499051 72 Hour: <br /> Email: subcontrat0ilanaltyical.cgn POO. JLA20200427b <br /> 48 Hour: <br /> Address: 217 PrimoWaY Address{City/State): Livermoore,Ca <br /> Modesto,Ca 95358 EDD Required: n/a <br /> Phone: (209)539-8111 Fax: (209)538-3966 sampled By: Tony Palma 24 Hour: <br /> Customer Sample 10s sawe IRnotesta---netTj" REMARKS/INSTRUCTIONS <br /> —ML'nis— <br /> Paint 4tol Dilutions 93, 4-flit61 -0-i 1 04/23/20 OT Plasitc X Paint <br /> La 1 04/23/20 OT plasitic x Paint <br /> No.of Samples: 4 Method of Shipment'. Invoice Preservative. I Ice 2=HCI 3=HNO, 4=HZS04 5=NaOH. 6=Other <br /> Relinquished By: Date:4/27/2020 Received By: Date: J(,U/�d Sample Matrix: DW-Drinking Water <br /> - <br /> Time:08:00 GW-Gfoundwater <br /> - <br /> Company: I EH-JIL Analytical C AQ Aqueous <br /> WW-Wastewater <br /> Relinquished By-. Date: R16-Ce5;ed By., Date: 55-Soil/Solid <br /> Time: Comoalaw Time: SW-Stormwater OT-Other <br /> Company: <br /> —.a <br /> Relinquished By: Date: Received For OCA 3y: Date: Sample Integrity: 0-4 <br /> Company: <br /> Time: Company: Time: Intact: VI/ On Ice: (91 No @ 'S -C <br /> in <br /> By sing ing above,client ackawdedges responsibility for payment of all sservicesrequested on this chain of custody form and ony additional seMces provided in support of this i3rojett-payment is due within 30 days of invWm 0ale unless oth Rrase agreed upon, <br /> writing,by orange Coast Analytical,Inc-All samples rema4,n the property of the chent.Adisposal fee may be imposedifcllmlt rails to pkikupsamPlim upon completion <br /> omplet ion of al I analyses. <br />