Laserfiche WebLink
wwwzfglinc.com <br />TEST DESCRIPTION AND ANALYSES REQUESTED <br />Quote Number. <br />5 <br />Sarapterfs): <br />Fee:Sampling Fee: <br />Time: <br />Location Description <br />XXX XSRCOTH6DWPG3Wefl1. <br />Relinquishedtmquished <br />Received By:'By: <br />IW/ <br />Piel <br />Offlo* & Laboratory <br />2500 Stagocoach Road <br />Stockton. CA 95215 <br />TEL: (209)942-0182 <br />FAX: (209)942-0423 <br />CA ELAP Certification No. 1583 <br />Phone: <br />Email Address: <br />Contact Person: <br />Project Nome: <br />Purchase Order Number: <br />Corporate OfTtoaa & Laboratory <br />853 Corporation Street <br />Santa Paula. CA 93060 <br />TEL: (805)392-2000 <br />EnvFAX: (805)525-4172/Ag FAX: (805)392-2063 <br />CA ELAP Certification No.1573 <br />Office & Laboratory <br />563 E. Lindo Avenue <br />Chico. CA 95926 <br />TEL: (530)343-5818 <br />FAX: (530)343-3807 <br />CA ELAP Certification No. 2670 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia. CA 93291 <br />TEL: (559)734-9473 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 2810 <br />Remarks <br />QT100-$38.00;N02_N-$32.00;N03_N-$32.00; <br />Sampling-$90.00;M/D Fee-$3.00 <br />Total Due-$195.00 <br />Tune <br />Sampled <br />client: Mike Wutzke <br />Customer Number: 3019150 <br />Address: 21600 N. Kcnnefick Road <br />Acampo, CA 95220 <br />(209)642-5659 Fax: <br />mike@diamondtruckbody.com <br />Mike Wutzke <br />21600 N. Kennefick Road, Acampo <br />z <br />CHAIN OF CUSTODY <br />AND ANAL YSIS REQUEST DOCUMENT <br />o <br />O <br />0 <br />o <br />I <br />? <br />I <br />I g <br />O <br />■a <br />3 <br />X <br />6, E <br />■5. <br />§ <br />CO <br />a? z. <br />I1 <br />Lab Number: <br />& <br />'S <br />1 <br />2 <br />£ <br />I a <br />o <br />o <br />i z <br />£ e <br />I <br />□ Client Other: <br />Compositor Setup Dae: <br />Samp <br />Num <br />Date <br />fempfed <br />Received By: <br />EriVlROriMEiSTAL^^ AGRICULTURAL <br />Analytical Chemists <br />Dite: Time: 1 <br />Dtte: Time: <br />I <br />t <br />I <br />I CL <br />I <br />I <br />! <br />o <br />£ <br />|i h <br />Rush Analysis: | | 5 Day Q 4 I>V I I 3 Da71 I 2 D8yQ 24 hour <br />i <br />i! a <br />11 <br />£ <br />II <br />II K <br />i <br />8 ° <br />1 <br />th <br />£1 <br />£ <br />e <br />I <br />£ <br />§ <br />i <br />f <br />§ t <br />§ <br />I <br />1 <br />® <br />I <br />I a <br />i <br />1 <br />5 I z <br />I u <br />Rush pre-approval by lab (initals): <br />Electronic Data Transfer: | | No | | State <br />, ✓ rt Date: Time: <br />Bv <br />V Dae: Time: ------------- -— ----- ----- <br />Ufafo 13HS ^1^23 I yoOpi | <br />Offlo* & Laboratory y <br />3442 Empresa Drive, Suite Cf <br />San Lula Obispo. CA 93401 <br />TEL: (805)783-2940 <br />FAX: (805)783-2912 <br />CA ELAP Certification No. 2775 <br />k Vy*