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M CD <br /> !• <br /> C <br /> 0 <br /> 0 <br /> oa <br /> 11 <br /> o = n <br /> s <br /> d <br /> � �2 <br /> N a Laboratories,Inc. Chain of Custody Form s, <br /> i.urt cRT n <br /> r <br /> 3 m � <br /> a Client:L- C Project#: Pa e_�_of o <br /> o �Q <br /> a <br /> Attn: a S �'� Pro'ect Name:C R / Comments: m <br /> o= Street Address: m <br /> a c a —1 <br /> C3 <br /> Ci State Zi ?C•6 ( � Sampler(s): C.5 CV.,( Q Std 1 1 n N O <br /> D x ° Phone: V- Cdl� Fax; Q O S <br /> Email Address: r A ( o �I Sample Matrix �ethereanyteslswithholding thne•leas than �• <br /> ° I Vork Order#: K- a a _ or equal to sa h...? C � <br /> t 3 3.. G� F-1YMNo t�OD <br /> s • �• .� I, c�3 • .0 <br /> aWi a • • h .1 E 3 Standard Turnaround=10 work days <br /> N 3 H # Sampled Sampled dev U 'c_.o ilk "n <br /> g; n .161 3 Other Notes O <br /> rn <br /> C'!5! - p - Cp Zc, x \e k <br /> yo O <br /> w 4 t� <br /> pop o A <br /> N <br /> o a 4 <br /> rn a N <br /> w ' '1, <br /> n a <br /> ° <br /> � 5 <br /> n O <br /> X c o N <br /> 0) y e <br /> 0)P __ <br /> N o y <br /> 0 y <br /> Co m a <br /> � a i <br /> Q <br /> oo Same as above fiDP Requital? Global ID <br /> d Geolrackcr rNecded lar EDF, SY:ctem# <br /> O' i Needed for EDT) <br /> 8 r Client: L <br /> S2 S 4t elieyuishe y Date Time 1. t By <br /> /G }f,P 2 v es ❑NoDate Time <br /> 3 <br /> Address: <br /> Send Co to State of 2' Qat Y Date Time 2.Received B <br /> a City: ( State�Zi UvZ pY Y ate Time <br /> p CA?(EDT) ,Q ,•�- 2b�fl l77 b <br /> 3 <br /> Attn: �h- Ptr p Date Time 3.Receiv <br /> .R i wished B <br /> ❑Yes D/ e^`` Date Time <br /> BC Laboratories,Inc.-4100 Atlas Ct.-Bakersfield, 93308-661.327.4911-Fax:661.327.1918-wuw.bcl bs.com <br /> u n /` <br /> 6_1 i-I'( I�tc'. "^�v' (oitiLj��I tl3a <br /> V, <br /> 0 <br /> v = <br /> ,v <br /> to <br /> to <br /> 0 <br /> N <br /> Ul <br />