HomeMy WebLinkAbout[Untitled]_56-58TWINING CHANN OF CUSTODY/ANALYSIS REQUEST
2527 FRESNO STREET - FRESNO, CA 93721 - PHONE (559) 268-7021 - FAX: (559) 268-0740
ANALYTICAL CHEMISTRY DIVISION
CALIFORNIA FLAP CERTIFICATION # 1371
REPORT TO:
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REPORTING:
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PROJECT INFORMATION
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SOLID:
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SIGNATURE:
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CR CERAMIC
SL - SOIL/SOLID
PROJECT:
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❑ PUBLIC SYSTEM ❑ ROdTlNE
LIQUID:
DW - DRINKING WATER
GW - GROUND WATER
PROJECT NUMBER:
❑ PRIVATE WELL ❑ REPEAT
OL - OIL
PROJECT MANAGER:
❑ OTHER ❑ REPLACEMENT
SF - SURFACE WATER
'T URN AROUND TIME: ❑ RUSH, DUE ON:
ST -STORM WATER
WW - WASTE WATER
ANALYSIS REQUESTED
❑ STANDARD
NOTES ON RECEIVED CONDITION,.
L ❑ SAMPLE(S) DAMAGED
❑ CUSTODY SEAL BROKEN
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❑ ON ICE ❑ AMBIENT TEMP. ❑ INCORRECT
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