Laserfiche WebLink
�'680 ChesapeaOrive• Redwood City, CA 94063• (415) 364-9600 FAX (415) 36403 <br /> SE <br /> a_ _� OlA ANALYTICAL ❑ Bi9 Straker Ave , Suite 8• Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name AT " Project Name coo I _a 11 <br /> I <br /> Address 1117 L )Xjve— J( —8 Billing Address (if different) <br /> City M,5joS43 State Zip Code <br /> .r <br /> Telephone �j -ZZZI FAX # -'5?9 zS— PO # m <br /> Re ort To iSampler QC Data Ild'Level D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Y <br /> C <br /> Turnaround W10 Working Days ❑ 3 Working Days ❑ 2 - 8 Hours ❑ Drinking Water lAnalyses Requestedi Requesteda <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours J�,Other <br /> Client Date/Time Matrix # of Cont Sequoia's ,�� <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 4a ok VCA <br /> Z <br /> tti1 -Zy 1 ZZ39 t N G <br /> Cr <br /> 2Mw , I> 1D na � V/ <br /> 3 �f q <br /> 0 _4oml Pees. ;�' V/j I <br /> r <br /> 4 mvyl% b <br /> i <br /> 5 <br /> 6 <br /> 0 <br /> cn <br /> a� <br /> 9 � <br /> 10 <br /> Relinquished By ]'Q Date /ZZ3g$Time Received By �r�cx bate /2-7.�- ime _j <br /> Relinquished By r„-� � � Date ��Zl�` Time%sZ} Received By Date Time <br /> Relinquished By Date Time Received By Lab RVU 22 V�tAtJ Date I2 2 ime } � <br /> Were Samples .ived in Good Condition?0 Yes❑ No Samples on Ice9 01/� ❑ No Method of Shipment &611" Page of <br />