Laserfiche WebLink
B.P. 01L MAR ,vG COMPANY <br /> 33305 First Way Sout). era1 Way, WA 98003 _ <br /> CORPORATEo <br /> Pt-�-- CHAIN OF CUSTODY <br /> ASSURANCE OF OU At III <br /> Novato, CA, 11 Digital Drive, 94949 <br /> Phone 415 883-6100 Fax 415 883-2673 <br /> Comuhril's N imx IT $A)A- rf 1 Pae of <br /> Addrt,sz /3 D i4ea f t V,-- Af q ! <br /> Project Contact St(S i h Consultant Pro ect # /7-050—Q/ Plione# 6�YFax#&I Y B <br /> Sim led b (print) G ct.�XJte Sam ler's Signature <br /> Shipment Method ��C/[ B P Site Location # B P Site Location <br /> 19 S U---A ANALYSIS REQUIRED Sample Condition as Received <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 lir ❑ Standard (10 day) Temperature°C <br /> x Cooler# . <br /> r� o Inbound Seal Yes No <br /> _ <br /> CO ri Outbound Seal Yes <br /> m <br /> (n 1I4 y Il1 -� <br /> SFmpti. DiaLriptlon COttu010n Matrix Prsv #of PACE 0006 O C7 U <br /> 00 <br /> DVLITILII. S0111W3trr Cant S'tnip]L # _ ¢ = < '^ 00 COMMENTS <br /> ta• W F- W Ow 2666 <br /> 12- ISL 5 Alm- S 3 x <br /> S..ys 61 r?_/Z/1 z S r G <br /> I <br /> 5 /o- JbZ 12,1417?- S <br /> 5 -4/5-152, z gZ S i <br /> s-q5'453 z/z z S r Gb.b <br /> 5-30,6y y 1 z <br /> S — z}S'=$ IZ131YL S <br /> i 3- 1403- o ' S O.S; <br /> I <br /> RelinguisliLd by/A1Gliation Datt Time Accepted by/Athliation Date Time Additional Comments <br /> t <br /> /o/S- ->rotje <br />