Laserfiche WebLink
M _ <br /> 29 �� <br /> FIR SOC1 fV c1 ORDER NO. <br /> 4 3 <br /> NAM SAMPLE DATE � O t <br /> ALYTICALLABORATORY ADDRESS t �D �X/X :.f9i - SAMPLED BY <br /> _191O'S STREET-, <br /> SACRAMENTO, CA 95814 s,.y . <br /> DATE RECEIVED � '�gl�/y' <br /> . <br /> . (916)447-2947 PHONE 03-4 4-e2qZ, TIME RECEIVED __ l?✓qS <br /> :-FAX:(916)447 8321 ; <br /> :,. NAY EpUE BY RECEIVED BY <br /> -SAMPLE RECEIVING FORM <br /> A _.:t ✓~ � aya:=a' .` M, , 1r. ? : :_ icy ,r-1+ DELI BY ..= ..' r .`...: <br /> ` -'s, j34gglt Y• �'"5 Y v�••d�. _ rA • a : •-' ice:..k. io:.Ju+'i..- .Lf.f•tr v t, 4 i'l.:•.:. <br /> 14'1' w <br /> r _ C r. kr Y `R SAM.TYPE"-` e2 CONTAINER w <br /> - Y ..,,. tG ,n W PRESERVE•:.. <br /> �S W v <br /> Z 1 . STATION ; �;� �' Lu <br /> :� It, _ Q <br /> ~ U W w w <br /> DESCRIPTION <br /> + f' Ul �o Q ¢ O H m m g w a r� <br /> � cn m z <br /> 6 <br /> Kw + ' F a,rt hp � a gcg7 ~ F- Zuo~i0W <br /> a <br /> �7r <br /> =ANALYSIS.CODE - t - CONTACTED. <br /> CONTACTED BY: <br /> _ DATEmME CONTACTED ^ - <br /> �f <br /> REMARKS. .::; •,r Office Only. <br /> For Offs Use s m <br /> t <br /> +ter YJ f <br />