Laserfiche WebLink
s • <br /> J� <br /> CHAIN OF CUSTODY -Page ! of ! <br /> CONSULTANTS NAME CONSULTA rSADDRESS c <br /> BTSR - Blaine Tech Services, Inc 1680 Rogers Ave , San,lose CA 95112 <br /> BP SFTE nUMBER GLOBAL ID BP WE(FACILITY ADDRESS CDNSULTANT PROJECTNUMBER <br /> %- <br /> 11191 LfAMAlLABU 1 1469 East Hammer Lane, Stockton <br /> CONSULTANT PROJ ECT KWAIALGER PHONE WUMBER FAX NUMBER CONSULTANT CONTRACT NUMBER ~ <br /> Cindy Magyar (448)573-0555 x 221 (4013)573-7771 �. <br /> 3P CONTACT BP ADDRESS PHONE NUMBER FAX NO P <br /> Scott Hooton 295 SW 41st Street,Suite N, Renton WA (425 251-009 425 251-x736 <br /> LAB CONTACT LAE CONTRACT tf LABORATORY ADDRESS FHONF-NUMBER FAX NO <br /> Pace-PaUla Kirtie 40D•6-21124 900 Gamine Ave ,Houston,TX 77058 2$1 4$@-1810 (2814BB4661 <br /> 9P COWACT REQUESTING RUSH TA7(Prml BP CDT"Ll Named RUSH REQUESTED OF(Pra7t Consultant Contact Name) DATE3EIME SITYPLIEW DATE SHP?CENT METHOD � <br /> a <br /> TAT D 24 Hougs ❑ 48 HOURS Cl 72 HOURS Standard 7 or 14 Days ANALYSIS REQUIRED AIRSILL NUM✓3f:R m <br /> ^-3 <br /> COtn'AINERS pREsMvATW (' <br /> to <br /> COLLECTION COLLECTIONnIATRIx g (Q <br /> FWAPLE DESCRIPTION m <br /> WE TIME SOIWYATER NO TYPE LAB g �O 1 COMMENTS <br /> (VOL) SAMPLE-4 m o � <br /> m 4 <br /> �� o p LrM <br /> It ry <br /> tJ� 1 7/1 <br /> Mw- Z 7 3 t MID x <br /> m\J— 3 7 '�1 tozo v�I µcL K X x <br /> Mw- Ll 7 3 l o�j0 V0 6 <br /> Q <br /> V <br /> Cr4 <br /> V <br /> ,AMPLED BY(Ple-ase Ptini Name) SAMPLED BY(Signature) ADDITIONAL COMT kENTS <br /> kg.{[ '?ow A,FV <br /> RELINOUISKM BY I AFFILIATIONpA TIME ACCEPTED BY IAFFILIATION (Prnl <br /> (Print Name!Signature Nam"!Signature) DATE TIME <br /> -2/3f 1900 <br /> 0 <br /> C,., <br />