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PROBLEM CHAIN-OF-CUSTODY V-Orll <br /> DATE/TIME f5��s4 ` 1�3� DATE RECEIVED <br /> CLIENT Oaf TURN AROUND TIME. <br /> CLIENT SERVICES REP T-C ANALYST <br /> PROBLEM <br /> 4- T-PIT " <br /> RESOLUTION <br /> Client Instruction* I' 14 TprTY4- <br /> - 1ke-z�-p I�j ?MIS <br /> Telephone Number of Client: <br /> Client Contact for Instruction: 4 <br /> Date and Time of Instruction: <br /> Date &Time Form Given to Sample Control: <br /> CLIENT SERVICES REP. SIGNATURE: <br /> D ATEITI.M E: I <br /> 'if client does not return call within 24 hours, please route this form to the Laboratory Director. <br /> White Copy - Client Services Pink Copy - Sample Control <br />