Laserfiche WebLink
*SCIENCE ENVIRONMENTAL � 10 <br /> LABORATORIES, INC. CHAIN OF CUSTODY RECORD <br /> _�J <br /> 7440 LINCOLN WAY Date— � �_~ <br /> GARDEN GROVE, CA 92841-1432 <br /> TEL (714)895-5494 • FAX (714) 894-7501 Page of <br /> LA60RATORYCLIENT CLIENT PROJECT MAW I NkV8ER �+ /I PO NO � <br /> ADDOESS <br /> I <br /> PMS CONTACT / LAS USE ONLY <br /> crrYLiz k1 d 4 sr r ! ZIP kCh P c- A x 0^ 0 � - Ri ff ® El <br /> TEL prgyt EMAIL SAMPLES(S) (SIONATUAE) COELTLOG CODE COOLER RECEIPT ' <br /> TURNAROUND TIME —/ ' �Mp oC <br /> I]SAME DAY 1324 HR ❑48 HR 1372 HR V50 DAYS le to DAYS REQUESTED ANALYSES � <br /> SPEC IAL REQ U 1—REM EN TS(ADOITI ONA t COSTS MAY APPLY) <br /> 13RVYQCB REPORTING 13COELT RtPoRmNG o, ."� y <br /> SPECIAL INSTRUCTIONS o <br /> r e!r <br /> C a p RR tri co o v s <br /> C.�i, ✓b QI,Lm �t v <br /> f- <br /> 7 1 <br /> 3+ _ <br /> US <br /> C� coo <br /> LO <br /> to <br /> SAMPLING tm <br /> USE ID NO OF S � Q [3 L3 10 y m m � V <br /> ONLY SAN�PIE 10 MATRIX a 4 d o y w to <br /> DATE TIME CONT m <br /> -FH <br /> 0 <br /> t <br /> V <br /> FRefl Is r nelure M <br /> g ) Received by (Signature) Date. Time <br /> >o <br /> Refing she by (Signature) Receivedby <br /> (Signature) Dale Time ti <br /> fi <br /> 4i81milulshed by (Signature) Received } Labarato►y by ignat Da Tune u U <br /> ILI <br /> DISTRIBUTION White with final report,Green to Fide,Yellow and Pink to Client J, 0l9AG101 Renswn <br /> Please note that pages t and 2 012 of our T/Cs are prinled Dn the reverse side of4he Yeft nit Pink coples respectively <br />