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® CHAIN OF CUSTODY AND <br /> POSITIVE781 East Washington Blvd., ANA4 VSIS AFOLIEST <br /> Los Angeles,CA 90021 _. DATE: PAGE_._ QF._ <br /> LAB SERVICE (113)745-5312 FAX(213)-745-6372 <br /> LOG BOOK NO; '' FILE NO LAB NO. 4 r^. <br /> V <br /> CLIENT NAME: ANALYSES REQUESTED: AIRBILL 0: .� <br /> � f <br /> COOLER TEMP: <br /> PROJECT NAME: �. �;' PROJECT NO. - P,O.NO. <br /> PRESERVED: <br /> J r <br /> ADDRESS: 'c� !!'�-r S' QC REPORT <br /> LEVEL MANAGER; PHONE NO: FAX NO: <br /> SAMPLER NAME: ' � REMARKS: <br /> ri 18 /e <br /> TAT(Analytical Turn Around Tlme) 0-Same Day; I -24 Hoarr; 2■48 Hour; (Etc,) <br /> CONTAINER TYPES: B-Brass,G-Glass,P-Plastic, V m VOA Vlm <br /> -SAMPLE DATE TIME MATRIX ONT INEIa SAMPLE CONDITION/ <br /> N0. SAMPLED SAMPLED SAMPLE DESCRIPTION w►raA rimr uuo eTwen TAT a rrn� COMMENTS: <br /> "7 1/III r • I <br /> D I It-) 4 A A'Q <br /> f , <br /> ell <br /> Refinpu nee : gname and Panted iv mel Recewed Y,i5i9he!4 and Prin19'd aino" 1 Date Tjme: SAMPLE DISPOSITION: <br /> 1. Samples returned to client? YES <br /> 1;�e�fPshq(k"Ia me mal c r y,(S n ante W1i U,Q' - Ti : <br /> f 2. Samples will not be stored over 30 days,unless <br /> additional storage time is requested. <br /> -- — _. <br /> __-`�--ReceivaG-B-5i nal e�andPrintedNemel - - '- <br /> Raf�nquishedBy:IS�gnalureandPrintetlName}.._..._ _ _:, .._. By'. C -..:::;-�x...:..:-.... -__ ...:.._.. - <br /> 3. Storage time requested: days <br /> SPECIAL INSTRUCTIONS: By Date <br /> CLIENT COPY <br />