Laserfiche WebLink
C ® LAB rr <br /> Jq <br /> SAMPLE CUSTODY � <br />� � � = • • ' CLIENT p CONTACT NAME PHONE# <br /> Water& Hazardous Waste 0, ADDRESS CITY STATE ZIP PROJ MGR <br /> 1 Sampling, Analysis, &Consultation <br /> 1885N KELLY ROAD • NAPA,CA 44558 BILLING ADDRESS PO # FAX PHONE <br /> (707)258-4000 * Fax (707) 226-1001 <br /> r PROJECT# PRGMCT NAME SAMPLER(PRINT&SIGN NAME) ANALYSES REQUESTED DUE DATE <br /> Act—Ic-1 Alberti- � <br /> LAB# COMP h <br /> DATE TIME ONTAINER (Non or CALTEST <br /> e SAMPLED SAMPLED MATRIX OUNT/TYPE PRESERVATIVE SAMPLE DESCRIPTION/SITE Caltest GRAB REMARKS LAB# <br /> .. <br /> !1!Y AO aLbA c7 <br /> w <br /> OW DW V-'A N'mow jnnL4x—\\ Cz ✓ _3 <br /> t <br /> RELINQUISHED BY v DATE/TIME RECEIVED BY RELINQUISHED BY DATE/TIME RECEIVED BY <br /> q MIA. <br /> r - <br /> CONTAINER TYPES MATRIX <br /> SHIPPING METHOD SHIPPING# RWJIVED RY DATEITIME CONDITION <br /> � v /d x/17 COLD +y1N SEALED !N INTACT !N AL = AMBER LITER AQ = Nondnnkmg Water <br /> AOL= 250 ml AMBER Digested Metals <br /> AHL = 500 ml AMBER WW= Wastewaters <br /> ' O Pt = Pint(Plastic) Non Digested Metals <br /> REMARKS <br /> /}`�� HG = Half Gallon(Plastic) FE Low DLS Final Effluent <br /> M vv Cif Y r Sj = Sod Jar DW = Drinking Water <br /> �to B4 = 4 oz BACT SL = Soil/Sludge/Solid <br /> g y <br /> BT = Brass Tube AR = Au <br /> iAllilk <br /> VOA= VOA(40 ml) IW = Irn n Water <br /> O <br /> c 0 OTC= Other Type Container r sled Metals <br /> U.46 A <br />