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0 <br /> e <br /> o > <br /> 11 <br /> o = n <br /> H Laboratories,Inc. Chain of Custody Form ° <br /> 1 1 M <br /> $ y. c Repel T. - I.7 0 <br /> y Client: G C Pro'ect#: ' ' to iQ <br /> a I Pa e�of� ° <br /> a <br /> w Attn: �� S{ t J.A Project Name: VA ARiv Comments: M m O <br /> Street Address: <br /> o a Ci State Zip: S n A Sam ler(s): C. w n .4. 1 CO 0y �1 <br /> X <br /> D o Phone: �?y 8�(� Fax: o o to <br /> iu s yo T _ <br /> m m Are them as tests with holds times less Than Q <br /> o o Email Address:u Sk 'J•tn God •t\Rnh rl Sample Matrix <br /> x ae o <br /> m a oaF[o d6 hears'! .� <br /> ,p z <br /> h Work Order#:��'ilk �� A a1 ernes ❑No 0 o <br /> c a Date d y c 3 Standard Turnaround=10 work days �/? <br /> al 3 NSampled . <br /> l� '-01009 Other # Notes O n <br /> PL-g <br /> w Z �— <br /> r _ c� <br /> �- <br /> .. a <br /> y W <br /> v� a- <br /> w o_ <br /> V SY <br /> m 3 tD <br /> c � <br /> '0 0 <br /> -n'm�C M <br /> m q g 1 <br /> = ; G KB 1 <br /> < - <br /> 4 O <br /> � a <br /> p 9 _ <br /> Co <br /> 1 <br /> w a ® ❑ Same as above EDF Required? Global 1D <br /> System# <br /> Geotracker <br /> (Needed far EDF) i <br /> r (i`eeded far En't <br /> g h Client: N0 I linquished Date Time 1. R e ed$y� Dae Timc <br /> 3 ° Address: 53.E rj Yes —— 1 ( (�11 <br /> 'o <br /> City: ` S� iiS� �' A '� Send Copy to State of <br /> Z.Re' uish s• Dale Time 2.Re Ned By Date Timc <br /> _ ty `�- n State Zi (EDT) <br /> p G4? ED <br /> Attn: 3.Rets uishcd B <br /> nZ. Timeq../� ❑Yes Lam. No 9 Y Date Time 3.Recei Date .Time�Yes Lam. No 9 Y Date Time 3.Recei Date Time <br /> a� <br /> PO#: yrs a. � -IL F� b ��.1L/ ��1: <br /> 3 BC Laboratories.Inc.-4100 Atlas Ct.-Bakersfield A 93308-661.327.4911-Fax:661.327.1918-www clabs.co <br /> 6,A(..)(-I a1 �30 <br /> 0 <br /> d <br /> W <br /> 0 <br />