Laserfiche WebLink
roavmewm ImI . f ry dolf� = M <br /> 1qwo vc <br /> CHAIN-OF-CUSTODY RECORD <br /> Analytical Request <br /> Clrent � �� Turn around Tome <br /> EReori To Pace Client No <br /> ❑ 24 Hours <br /> Address /NC U/f 48 Hours <br /> L ❑ Pace Pro ect Manager <br /> I:r (1f tf-/4 !�9 ❑ 3 5 Days <br /> P O 1 Brllrn Reference ❑ 1 Week 2 Weeks Pace Pro ect No <br /> Phone 765 772 7S-1,7- Project Name 1 No .�� f ❑ Normal 14 Days <br /> Requested Due Date 2-20 <br /> Sampled By(PRINT) PRESERVATIVES ANALYSES <br /> w REQUEST <br /> z o <br /> Sampler Signature Date Sampled 9 j <br /> z Q <br /> 1-3a - �� ° � J <br /> U <br /> LL <br /> d O Q z z r� <br /> 0 <br /> Ila. SAMPLE DESCRIPTION . O z N z q M <br /> L z _ > z REMARKS <br /> 2 7i 6--- <br /> 4i <br /> 51 <br /> 6 <br /> 7E <br /> a <br /> 8 <br /> -S-41PMENTMET"00 NUMBER <br /> OF COOLERS <br /> TIME ACCEPTEQ 3Y I AFFILIATION <br /> Adltional Comments <br /> b/EsC-L - M rcko JE�x71k,�<7-16N <br /> �� U T ���3�S' Tem SAMPLE caNntTtoN <br /> p °C Received on Ice Y/N Sealed Cooter Y/N Samples Intact Y/N <br /> SEE REVERSE SIDE FOR INSTRUCTIONS &9� <br />