Laserfiche WebLink
Dl <br /> CHAIN-OI`-CUSTODY RECORD <br /> Analytical Request <br /> Chem ,1—:�- Report ToI Turn around Time <br /> Pace Client No <br /> El 24 Hours <br /> Address �[ EL (//T Bill To ❑ 4B Hours Pace Project Manager <br /> f <br /> L ly( C/Q ❑ 3 5 Days �7 <br /> 9S P Q #/Billing Reference ❑ 1 Week 2 Weeks Pace Pro ect No D5 / <br /> d � ❑ Normal 14 Days <br /> Phone Pro ect Name/No <br /> 'Requested Due Date 'zo 'Ffr <br /> Sampled By(PRINT) CC PRESERVATIVES ANALYSES <br /> Lu z REQUEST ¢ <br /> Q <br /> Sampler Ssgnature Date Sampled Z j <br /> Ct <br /> U TEM 0U. L <br /> .40. E 01SCRIPTION TIME MATRIX PACE NO. <br /> z z i i o Z <br /> REMARKS <br /> mui <br /> 3 � <br /> I <br /> 14 <br />� sl <br /> 7j <br /> 9 ' <br /> r SHIPMENT <br /> .D <br /> .. Ellis 50 AFFILIATION <br /> r!D GD <br /> ddstional Comments <br /> -- M rcl�Q r X i RA-r_r1o,of,1 <br /> 5,WP4PS T,i,t� n� p CE� �� A SAMPLE CONDITION <br /> J Lf I <br /> �h IV% , Temp °C Received on Ice Y/N Sealed Cooler Y!N Samples Intact Y!N <br /> ,J SEE REVERSE SIDE FOR INSTRUCTIONS 69, <br />