Laserfiche WebLink
� 1961 Concourse Drive <br /> Inchcape fisting Services Son t]ase,CA95131 <br /> • Tel 4o8-432-8192 <br /> Emlronmental Laboratories Fax 408-432-8198 <br /> INTCID",NT REPORT <br /> ISample Receiving <br /> sample Custodian S�-�S ,x"L Date d It 1 A A� <br /> "t is t O l y Pro .DB <br /> Vori.arder Number J M�SDG <br /> SAMPLE CHAJIN OF CUSTODY <br /> Containers with headspace _ Not received <br /> -_,,-<ontatners without labels _ Illegible <br />' Improper containers Containers do not match <br /> _ Containers broken Incomplete <br /> Not properl,. prescned <br /> Transferred upon receipt <br /> Cooler temperature outside of range NO CORRECTWE ACTIO\ REQUIRED <br /> _ Am,,ed outside of hold tinie for <br /> METHOD (S) <br />' • _ Other (please speaf-,) <br />' ffccud S im �1 •c I t ` f- P ta.3 r cG, ✓ e. <br /> s S�_ 1 t g.S Clc� a�+ C ct �. - -— <br /> �orrectn a Action � o1.�Q 1 c� Soc v�r�#71t � M )r 3_ �' C a V�O --za.4 � G,tr y-I.V"e— _�_n <br /> 70 797L(.0 i,C Lem[ <br /> ; icor %cnficaunn <br /> Date I I(( <br /> ojc.t ' ; iiti����r 1 �r5fic,�tiLr <br /> p ,i,� Date <br /> �, 139 <br />