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ALS Latsaratara.l t.�rr�a.ap <br /> aw_vncti.t ,euu-'nrrs-esnuG sWMCEs Canister Chain of Custody <br /> Environmental Division A <br /> Client -I- ( 2 v ProjecttlJob/Task: LLL to ?s I <br /> Account No: <br /> Pleasedo not apply adhesive labels directly on Canisters - ALS <br /> Manilla tags are provided,attached to Canisters for your convenience,to apply adhesive labels - use only <br /> m <br /> m c � <br /> 0 <br /> o E c <br /> r E m w - E <br /> U `o o y v c E <br /> E a > % ; am w <br /> v <br /> � x a <br /> m R 3 U O U O E <br /> U > E rn m > m U <br /> a L C y <br /> L <br /> Canister Soria[No.: o > _� m i o <br /> q S�- Dl-[7-12 ?as _ ?ao 0 <br /> 3c��war <br /> 2. 2 1554-((P <br /> MF 11-100. <br /> VFR Serial No.: <br /> -52 <br /> 3 02- 2 �Z <br /> M. <br /> Original Field Sample Chain-of-Custody Return to: <br /> Relinquish no e) D`ate/Time Received By:(Signature) Reasoafor Transfer/Storage Location ALS Laboratory Group ;- <br /> vDLo 7 tZ 960 W.LeVoy Drive <br /> p21ot2 Salt Lake City,UT 84123, <br /> 800-356-9135 <br /> If canisters are kept for longer than the origigaf project scheduled sampling,a$40 per can-per week rental feeAi I be assessed.If a project is cancelled after ALS has shipped f <br /> cans,in addition to the cost of the initial shipping,a$40 weekly rental fee will be charged for each unused can until they are returned to ALS. <br />