Laserfiche WebLink
1 . <br /> ENEERINIGC. i u Q 4 <br /> 11960 HERITAGE OAK PL#2B <br /> =91 AUBURN, CA 95603 <br /> (530) 886-3100 JOB Zf 3 <br /> LIC #537901 <br /> CHAIN OF CUS'T'ODY P <br /> JOB NAME !• Ltd" LAB __ -50A �L�r A � -- <br /> PROJE("I' MANAGFR p d SAMPLES COLLECTED ��4 BY it IV Chd <br /> t�,AMYLE T)NE: <br /> SAMPLE TYPE ANALYSIS <br /> SAMPLE LOCATION DATE TIME NO CONTAINERS) REQUIRED <br /> o SOIL AtF WATER <br /> L L] <br /> 8nzg T r dCWA <br /> 0,Vhh <br /> PRINT NAME AFTER SIGNATURE <br /> RELI QUISHED BY RECEIVED BY DATE/TIME <br /> clurc4 <br /> 'LINQUISHF.0 BY RECEIVED BY DATE/' imE <br /> 3ZELINQUISHED BY - RECEIVED BY DATE/TIME <br /> RECEIVED FOR LABORATORYSPA E(TIME,/��,�, <br /> METHOD OF SHIPMENT �vr1 S� <br /> OSITION <br /> STORAGE ❑ REFRIGERATOR ❑ FREEZER �oC '} � L . <br /> SECURED <br /> TURN AROUND TIME: <br /> ❑ 24 HOURS T� 3 DAYS F11 WEEK ❑ 2 WEEKS ❑ ❑ <br /> YES NO <br /> NOTE I'WASE: HAVE EACH DATA SHEET SIGNED BY CHEMIST <br />