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;t <br /> Laboratories,Inc. Chain of Custody Form <br /> Client: .� x a- l,wG�r 5 8 — �T08Ct � t Page 1 O <br /> f zF <br /> � Comments <br /> 2Atte: t4 PiV•QCt N6mp &L%,'. <br /> Street Address:16' 5 F. 94 ?`' � Global ID ST: � zg $n 2.. � � .✓f'1.` ._ <br /> City <br /> : The' <br /> aElerZi s): <br /> AA- <br /> Phone: • t e Fax � 3 .. <br /> ' F <br /> Are there any teas Roth holding ttmes less Chan <br /> (• -. .= Sample Matrix <br /> Email Address; tet t, ,�•s4v6W � > r� t s+y gib•' o oregnaitn48hours. 1, <br /> 1 El Ye. •t�No <br /> Werk Order s: 3 3 o <br /> Standard Turna.round=?Q work days <br /> ,C;U Other Notes <br /> t ai t <br /> e <br /> k . <br /> Prr f _�., i ty a &,- fi- '�lj 't tA'' t $,r',�'>";` `4}�'° 4 �• :g, . <br /> tt }1 { -s ! if.'_ r i w- <br /> T M i <br /> •�.` F lbw <br /> A. <br /> )v <br /> tI <br /> - .. is ,b t b• <br /> J <br /> �-`� <br /> Sample.Dirposgal <br /> Same as above RDF Required. Special Reporting <br /> 4" ❑.Rehtrti to C hent t 'Dist��'.!�'!ah ❑ Archive: eta.ths QC ❑lcLi Raw Data <br /> Client: fNo-,'*' <br /> Time 1 .Reverted BY, fir. I. Date <br /> n x 1. Reltngttishes7 iBy Date „ Time <br /> ❑Yes No 'o=; K r; }",;'4>`' t "'e ,eE'%i f'¢3f� .q ,b, r ax: r,,s,,.B a"�'•li!1` erft <br /> Address: AL <br /> r 3 ; Sent$Copy to State ofZ j Reliuquisbcd By s Date Time Z.�ReTt�;•d By <br /> c a Date t Ente <br /> City kA&� ^State dip ,, ., CA?(EDT) <br /> �,. <br /> Attn. d a` t @ £ F`'S' ''S r. ` " Yes ❑No 3. Relinquished By - Date Time 3. Received By Date Time <br /> BC Laboratories,Inc.—4100 Atlas Ct.—Bakersfield, CA 93308—661.327.4911'—Fax: 661.327.1918.;—.wwcv.bclabs.coin <br />