Laserfiche WebLink
Sierra Laboratories,Inc. CHAIN STODY RECO D <br /> 1525 Endeavor Place 714-758-9988f Date: Page r of <br /> SIERRA Suite FAX: 714-758-9692 <br /> l-6OR AT .N Anaheim,CA 92801 - <br /> Client: PA Client Proj.Name: _ Requested <br /> Anal <br /> I y <br /> Address: �f1C)f e*s S l c-)ock Client Proj. No.: s (_Sc� <br /> C161\ For Client Use: <br /> Turn around requested: <br /> ! Immediate Attention <br /> Client Tel.No.: . 4 l_ CLj _� � � Rush 24-48 hours L� <br /> Rush 72-96 hours <br /> Client Proj.Mgr.: C'� j1�1 Mobile Lab <br /> Normal -� <br /> Client Sample No. Date Time Sample Matrix Preservatives Container No.of <br /> , Liquid Solid Yes No Type Con- <br /> lainers Remarks <br /> s <br /> SP-1 B 41 <br /> s --2At`— <br /> Sam is 'gnatu Received by: Date Time Total No. of Containers <br /> w— The delivery of samples and the signature on this <br /> R qu shed b D to Time Received b chain of custody form constitutes authorization <br /> / y Date Time to perform the analysis specified above under <br /> Sierra's Terms and Condhions, unless otherwise <br /> agreed upon in writing between Sierra and Client. <br /> Relinquisheby: D totrime Rec ' d at Laboratory D to Time Tota!Na. of <br /> Wyly. Containers Recd.: <br /> Special Instructions: 3 <br /> 6bm�'c� t r� r A+ 3 - @QRATORY°.IJSoNI:Y eortdltl�mples recevedf . <br /> fFillled �*'¢` �pprop�late Sample Container . <br /> F <br /> Enact ,Prq erly L abeled i <br /> xb -- Approp�It3tePreservatives <br />