Laserfiche WebLink
t. <br /> _ 3 <br /> KAVIEALIAN I£PiGTHEIERING, INC. <br /> �P- I C)VtIN OF CUSTODY <br /> 517E NAME L ADDRESS ANALYSES REt1UES1£D ! TURN AROUND TIME: I <br /> ISARP(ER ( t I --� �4. �S I <br /> �\r—�" <br /> IWITMESSING AGENCY I I 1 1 1 I I I ! <br /> I � ! <br /> ND. >E w a� <br /> I ! I 1 I I I I OF I SAMPLING is m c'< 1 <br /> I 5AlptE ! I I I 1 I I I tOCATIoil <br /> I ID M0. I DATE I TIME I SDIL IWATEA CRAB CCHPlMNY- <br /> I <br /> ICS[ 13/19/911 lr/I I✓I ! fFue >?.� �'t !✓I ✓i �/t ✓IfDS / <br /> I <br /> 1ST Ei3�� II I L/! 1✓I I I ILZ ISI✓ ✓ I � I <br /> IS~�-WU..1l�i�%91 I l v I It/! I � I ! ✓1 �/i✓i✓I I �S I M_ <br /> �m , <br /> 1 i I I I I l i I ,Ll a `f`} <br /> r?i Yip•.. .. <br /> ! ! ! ! I I 1 I cn ;a: <br /> 1 I I l 1 I ! I I � <br /> ry . <br /> IR 1i Ithed by: tort) ; Dete/Tlme ! aeaelved (Signa e7 I The following F'R15( BE carpteted,by the taboretory accept, <br /> J �� I for aralysit: <br /> I I /2c)51 g.10 I r -1 � <br /> 111 — 1. Nevt alt staples received eralYtIs been stored in ice? <br /> lRelinep <br /> ished by: I(Signature) Date/time l Received by: (Signeturt) I <br /> I I I 12. will samples remain refrigerated tr+til anetyted? <br /> ~� Date/Time Received by: (Signature) 1 3• Did any swpLes received for analysis here head space? <br /> IRelinquished by: (SiDnaturep I 1 <br /> Were Its in eppropriett tq+tainert and properly packaged? { <br /> '%bed by: (Signature) I DetelTime I Received by: (Signature) I i ✓ g ze <br /> I I SI tture Title Date i <br />