Laserfiche WebLink
Z� 71 Zaca Lane tel 805.544.4696 CHAIN WILISTODY <br /> San Luis Obispo CA 93401 fax 805.544.8226 <br /> reporttu phoneF <br /> Turnaround Time <br /> 'y'-r1N�V= `.�0�� (--Tx ) �4.; 0"f ?;- +-� �tR �� ANALYSIS REQUESTED <br /> company project€ 3 <br /> ASAP EJ 48 hr 0 <br /> addtress (( project # <br /> �tPGr 1 1t `�{� � d.. � 1�r 3;1({ � 1 a 9 � � SX Z-1 (�� j Co � � C 12hr E] 7P hr E] <br /> sampler <br /> T { 0 24 hr std <br /> poV <br /> >� 0 <br /> XymaX ; S <br /> r�usre�/only SAMPLE DESCRIPTION Date Sampled Time Matrix Preserve Remarks <br /> _.)�:JI ` lei!-{ 1 � 'I�~oft - o l-'� .5""— t F <br /> J � <br /> Z-5 ox <br /> L I <br /> ?i%` I I M <br /> /fy w p I_S F L10 l <br /> i <br /> Comments 1 - LUFT EDD Relinquished by Received by- <br /> 7 <br /> y <br /> l2�1►0 ]^ �r r, f Z t�l fL2 1, 7 �` ' � Cy � <br /> Signature - �- Sg an tur2, <br /> Print MeF { � rla ': Print -- <br /> Company —7, Company <br /> -!`)- � F ' sDate Date Time /, - f12 _ Time /'12.2," t'tr.;S <br /> Sample integrity upon receipt: Bill 3rd Party Relinquished by: Received by ZymaX envirotechnology,inc: <br /> Samples received intact Signature Signature <br /> Samples received cold Print Print <br /> Custody seals�h Company Company <br /> Correct container types PO# Date Time Date Time <br /> Quote yes no <br /> email zymax@ZymaXusa com mage ofrw' <br /> sedOli 10-07!r <br />