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77777 <br /> PROBLEM CHAIN-OF-CUSTODY <br /> DATE/TIME �� o� I i = s DATE RECEIVED <br /> Nib ate: <br /> CLIENT TURN AROUND TIME <br /> CLIENT SERVICES REP ' I IM -1-0 ANALYST AG' <br /> F a'<v'e'AP�axe '=?L�A'3k5 PS'�S A.���'•.�c..xrc <br /> . .: .� «::.n�.�.xw..�...u.`u-.�xe:•sz:.,is`a�'u2...� ,•.+�, s.c.,.�+.�...:s�:ce...w. n>,»:v.,v.:Ya4_.... _ + tYd,!,.... .te...:h.�a:, 4...: ,'Y Z.__a,w. ».+}.__.v....ri�,J <br /> PROBLEM <br /> RESOLUTION <br /> Client Instruction*.. {Q-DaX <br /> Telephone Number of Client. <br /> f <br /> i <br /> Client Contact for Instruction: Gar( Lf'o- err «�1 <br /> r � <br /> Date and Time of Instruction: g�� <br /> Date &Time Form Given to Sample Control: ` f <br /> CLIENT SERVICES REP. SIGNATURE: <br /> DATE/TIME: V - <br /> "If client does not return call within 24 hours, please route this form to the Laboratory Director. <br /> White Copy - Client Services Pink Copy - Sample Control <br />