Laserfiche WebLink
P, ASSOCIATED LABORATORIES A\ <br /> k' \�C C- 806 North Batavia ■ orange, CA 92868 <br /> Chain of Custody Record Phone: (714) 771-6900 • Fax: (714)538- <br /> 1209 <br /> Phone Zy�Zl_ �s 1 A.L Job No. Page—\--oil <br /> Instructions&Comments <br /> Project Manager Y � �}e �� Analysis Requested Test <br /> Rroject Nash Project K <br /> and T77+~ L'••IZ �t��l"I ~t l4t�i �. lR. <br /> Address <br /> Container � <br /> Sample 1C! Lab IC) Date Time Matrix Number/Size Pis Hyl (� <br /> >,�sc zr3� �t�cz, •-- - <br /> 4 � z vy\- 1 14 .42 <br /> 5 use Z _2t j'Z.S'1 <br /> tnS'C\tJ��. �•.�� r <br /> 7 <br /> B <br /> 9 <br /> tU <br /> t1 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> Relinquished by 1. Relinquished by 2 Relinquished by 3- <br /> Sample Receipt-To Be Filled By Laboratory Sam ler <br /> Signat e: � Signature: Signature; <br /> Total Number Of Containers <br /> Pro Cooled Y I N I NA <br /> Prn Printed Name: Printed Name: <br /> Custody Seals Y I N/NA Samples Intact Y/N!NA { t <br /> Date: Time. Date: Time: Date: Time: <br /> Received in Good Condition Y I N Samples Accepted Y!N <br /> - 1. eceived By. 2 Received By: 3• <br /> n 'd t3y: <br /> Turn Around Time i <br /> n ur Signature: Signature: <br /> ❑Same Day Ll 48 hrs. 13rinted Name: Printed Name: Printed Name. <br /> 11 Normal © Rush Q 24 firs• Q 72 hrsTimeDate: Time: <br /> DaiC!7 Time. li �J Date: - <br /> Distribution: vihne-Latwrai rY Canary-Laboratory Pink•Prvlect/ACcuunt Manager v <br />