Laserfiche WebLink
BC <br /> Laboratories,Inc. Chain of Custody Form <br /> Repo To: • <br /> Client - Pro ect#: Pae of <br /> Attn: LIVI VR Pro•ect Name: C C q ConentS* <br /> Street Address:y�i�JQ 60 lobalID#: *" ("R J i, <br /> b l 6D +��d UX6 <br /> Cit State <br /> zip:5V, :p Sam ler s t CO } R <br /> Phone: J31 1 ! Fax: 3 ` tel 1b tufo V ( + e <br /> Are there any testryssith hooding times less than <br /> r� sample Matrix or equal to 48 hours? <br /> Email Address: t ! its 9 <br /> Work Order#: <br /> /G�7a�/f 3 14 o El Yes No <br /> �+ 1=3 <br /> Standard TUrr around m 10 work days <br /> • a a -a v4 is CA 0 3 Other "Notes <br /> . to A-*i <br /> V b 1 CA A 44 D <br /> & <br /> c>eZ- _ <br /> EDF Required? Clohal'+'D System# <br /> Same as above (Needed tar EDT) <br /> (Ne.eded for FDF) <br /> Client: t3 V V Yes j NO 1. Relin �eished B Date T+me 1. Received By, 4 ' Date 15rne <br /> E I 9 3 Y—A �ii q/LY+ ✓ <br /> � � � �yt -2 - �2�® �cligi 5zZ �2ta' 12319 <br /> Address: ——- — — <br /> q Send Copy to State of <br /> Z Relinquished By Date Time 2. cetti Dat Time <br /> City: + C�. S to lip! SCA? <br /> (EDT) rj Z� <br /> Attn: Y " Yes ❑No 3. Relinquished y Date Gime 3. Recei��dByy --� Date Time <br /> ie <br /> BC Laboratories,Inc.-4100 Atlas Ct.-Bakersfield, CA 93308-661.327.4911-Fax: 661.327.1.918-www.bclabs.com <br />