Laserfiche WebLink
Chain of <br />Custody Record <br />TAL;124 (1007) <br />L:kiera V Y�'4*J <br />Aoi�Yass <br />anotarabw, (Stale) <br />S�c 141 <br />Sale Omd FvV ale No. <br />El <br />r ruie on Receipt <br />"SaRk .❑ No❑ <br />P-0- Af-w$9- <br />��� %db RICO <br />� Teleyd0—N—ber(A—CvdgkFax/1Wn6 <br />191 JU 6 2.6 d - 71 <br />lA X9 )76 y �e �� <br />�� <br />Camer/Weyda/Nwrter <br />Die b�i`S b m CA <br />Sample / D. No. end Description <br />(Cawl"ers /Of eacn.:ampsmaybeao ft7edoncm, <br />/41e) <br />Uate I Time <br />TestAmerica <br />THE LEADER IN ENVIRONMENTAL TESTING <br />Dale <br />j2-2- 13 <br />Lob Nwnber <br />MaA2r I Conla'ssernubires I' . I "I <br />72,.541195 chain ,f CUSLOdy <br />mare space /s <br />/ 5—O`I"61-f <br />.rtm dCuatcd m#7' ' <br />2'06! 98-. <br />Spatia//nsUuctions✓ <br />conditions oiRecerpt <br />FQTsrb/ - - - -- <br />Sample Disease/ <br />AFx+ Ra"" J R)ammable L I Skin rrrilanl ❑ ftvsoa 3 ❑ Vntvl n <br />❑ Rek m 7b Oie r <br />Drsposal By Lab ❑ Am We For Manft <br />(A)iv may be assessWi/samples are ralawerl <br />,vr man 1 ma lh) <br />Tum A,mvm Tme Regwmd <br />.74 HMD -18 RouiS ❑ .' Days <br />❑ lQ Days ❑ 21 Sys x�- <br />OC Requ#pmmis (speary) <br />v <br />- <br />r :'rvivr — rx*R <br />Dare , ime <br />ALAM <br />-# i 2. R <br />Lis." <br />Time <br />9 R2hn 6, <br />snv <br />Dare 177me' <br />3 Rece-edBy <br />--- <br />/52/0 31 <br />cm -7 <br />/,2-Av <br />-4-a� <br />NSTRlBUTTONit - et laGierAwi <br />a-.SGicwirANw.Sw+�n/AP/MK. ten.. <br />0 <br />N <br />N <br />I- <br />LO <br />0 <br />w <br />0 <br />(D <br />rill's <br />