Laserfiche WebLink
�I. .. .. .. .� err�r �I �r■■� <br /> 980 03 CHAIN-OF-CUSTODY RECORD <br /> Analytical Request <br /> Client L� Re ort To JOYAl SGCJ MS Turn around Time <br /> /� Pace Client No <br /> Address SAJ <br /> C hot <br /> e; t;�/f} N� Svira Bi!!To ❑ 24 Hours <br /> d c ❑ 48 Hours Pace Project Mana er j S <br /> C� T P 0 1i/BillingReference ❑ 3'S Days <br /> ❑ 1 Week 2 Weeks Pace Project No �Q�r <br /> Phone D 7 79 S Pro ecI Name/No ❑ Normal 14 Days <br /> Sampled By(PRINT) 'Requested Due Date <br /> w. <br /> PRESERVATIVES ANALYSES <br /> REOUESTZdSam ler Signature Date Sampled F¢ <br /> w <br /> Z > <br /> Cr <br /> ° w Q �, � <br /> ITEMo V _ <br /> NO. SAMPLE DESCRipTioN TIME MATRIX PACE NO. a. ° o ¢ o <br /> p z N z Q m <br /> z ' z REMARKS <br /> 2 <br /> a rrc�' -z �yav 01AY 3X <br /> 5 <br /> w o1� 4m1 <br /> �2yfg � <br /> 1 �9 ?t Yy w 7W-W a X <br /> k <br /> AIR BILL NO. SHIPPIN DAII <br /> SHIPMENT ME <br /> PTED BY/AFFILIATION <br /> .. <br /> Additional Comments <br /> SAMPLE CONDITION <br /> Temp °C Received on Ice Y/N Sealed Cooler Y/N Samples Intact Y/N <br /> SEE REVERSE SIDE FOR INSTRUCTIONS <br /> B 97 <br />