Laserfiche WebLink
r �r r rt � rr r r rr r� ■r <br /> Chain o4p ,iivanferr <br /> Custody Record <br /> QUA-412A <br /> Client Protect Manager Date Chain Of Custody Number <br /> �0.r»c.s vnooc . Ss;.c.�c. Kos Ca-�-99 4 n 9L 6 <br /> AddressLL Telephone Number(Area Code)/Fax Number Lab Number'BBI I <br /> D, f-c 5 o rn 01. l��V 1G.200 ep1 t(4—3 -'—S 8®O Page 4 of <br /> City State Zip Code Site Contact Analysis <br /> S�.c,�w ani e G Y4 SgZ.(o `Te.,;,o r <br /> Protect Name Camer/Waybill Number <br /> Contract/Purchase OrderlQuote No <br /> 15 tSa9 -o%-4 <br /> Containers 4- <br /> Sample I D No and Description Date Time Sample Type ynlu Tota!l TYP e No Preservative Condition on Receipt <br /> l0 ' • rian Z. <br /> ID ffi-W--4 1 5 z <br /> Irlmo -Coo 1 IAAN <br /> z <br /> c co a� t <br /> [}E <br /> EUU <br /> E <br /> Special Instructions <br /> Possible Hazard Identification Sample Disposal <br /> ❑Non Hazard ❑Flammable ❑Skin Irntant ❑Poison B u Unknown ❑Return To Client [:].Disposal By Lab ❑Archive For Months <br /> Turn Around Time Required OC Level Protect Specific(Specify) <br /> 29 Normal ❑Rush 1:11 ❑li ❑III <br /> I Rell5ished 6y Date Time t Received By Date T+me <br /> co-1-90, 6:3,3-0 Cxa� 3 <br /> 2 Relinquished By Date Time 2 Received By Rate Time <br /> 3 Relinquished By Date Time 3 Received By Date Time <br /> Comments <br /> DISTRIBUTION WHITE Stays with Sample CANARY Returned to Client with Report PINK Field Copy <br />