Laserfiche WebLink
CHAIN OFCUSTODY ADPL, Inc. <br /> IV RECORD 4203 W. Swift Avenue, Fresno, CA 93722 <br /> Phone: (209)275-2175 <br /> Fax: 209 2754422 <br /> Prro�Name/Number Sampler(Print) Analysis Requested/Method Number Date Shipped: tZ I t: �l> <br /> 2��C:Cs.-?-'J t 13 1`,A I C:-_++a 91— G �+ Carrier: F4an <br /> Purchase Order Number Sampler(Signature) <br /> v 41 a 9 Wa ill No-: <br /> ,- �. / Comments: <br /> Oat® Tbna tw nb®r of O d dd !' i< <br /> Sample Identification Coiwcted CoPected Matin cowWnas >-W Of J 15 <br /> Ae-L. v\ - �C:ur!�\U� `y`u `1 Ills ANI ? X 40 vv`t_ 'OA' <br /> A.V- - -�IN - G t.1) as 41 \J 'C 4-b ►v, S,10A <br /> 4 e L - 3A - ao S �< X cx�s� t i!A--11C �uv <br /> TQI P 8U%mV Pa- -3;Fr <br /> O � <br /> e-I 0 <br /> O ., <br /> 0 <br /> S Tempetahre: Turnaround Re9juested: M2.�.3q Sampk Disposal: to o <br /> 7RX TCX.,G�AIrJS�ZE/Tt3 U � <br /> Standard 2-3 week 0 One week 1AZhour 0 Return to client ❑ Disposal by Lab mday Menvon) U <br /> Retirquished by saw, Date Time Received by: Relinquished by: Date Time Received by.'ya �W 07114 <br /> 41Ill <br /> Relinquished by: Date Time Received by. Rellnqrefs � Time Re . ed <br /> tc <br /> Report lo: C P -D ty�K�-E Bits to: <br /> 100 t N(�t_� Av�a��E, S:e tr✓ "3��c� S (ZEPOCr P oj')%Z.s <br /> VJ ALi.KA-r c-e-4-MV—, LN C14-S`I�a <br /> Phone#: 61 p of 3A -Z"1 Uv FAX#: .St 6 -k-3-4, <br /> White: Return to dent with report Yellow: Laboratory Copy Pink: Sampler <br /> C.O.C. N° 2068 <br />