Laserfiche WebLink
CHAIN OF CUSTODY REDP,RD <br /> AM- <br /> F ` LE ( ignaturel: <br /> 'T�7� .54 Hu R ibeq PfA7jO%�/ 0490S si e1►rs <br /> 4191-E Power Inn Road,Sacramento,CA 95826 (916)452-2907 <br /> Phone: (6 a T2- 2-90t •Fremont •Costa Mesa •Sacramento <br /> LABO ATORY: SHIPPING INFORMATION : <br /> Shipper <br /> 3LS3r •LQ7t„_„ h� Address <br /> x4- <br /> C4 C Date Shipped <br /> TURNAROUND TIME::~~II�Wim'- , Service Used .. <br /> Attention: �ii��•+ �eblftl` ._� Airbill No. Cooler No. <br /> Phone No. <br /> uis by: ;signeturesi Received by.(signatures) gale Time <br /> •,�LCatcu.�— � .o <br /> Received for laboratory by: <br /> • � 3I7��� � �36 _ <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> •Sample Site pate Analyses Sample Condition <br /> No. Identification Sampled Requested' Upon Receipt <br /> ezwn I&-gzfl , <br /> W77�3 • �S .t, `` <br /> —� <br />