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= M M = M = M = = = M M = M = = = = M <br /> 1�5 Laboratories,Inc. Chain of Custody Form <br /> RTW7b.. & A. PaLe Of <br /> Client-jiur 5-y Y A% ;0--�e S'k 1%C Project <br /> Attn: Sit;nOyNn', Pro I Comments: <br /> ject Name:hj('4 C VO C, 5 <br /> Street Address: 6obal ED#: P to <br /> City.State,Zip: agA _u MnAg3LIQE_Z�;T <br /> Sam pler(s -) <br /> f <br /> Phone:4%-114-4111 Fax:4A-q31-q' <br /> Sample Matrix Are there any tests with hakfing times less Phan <br /> or equal to 48 hours? <br /> Email Address:G i Cam— <br /> Y" ONO <br /> Work Urder 00 <br /> #: L1 C) — o19 11 <br /> *Standard Tu,..nd=io work days <br /> E <br /> Descriotion Date Time <br /> Sample 0 <br /> p led 0 Other Notes <br /> # <br /> C'j-� -WLI ji-WI 0 JQQ_7 <br /> - 2 F9PWejj *LC1 1701 I'D josl <br /> 7_5 Weil #7_1 C4A.At2. ............. <br /> I "(X:f I I'lo 110 ) 11-2- x <br /> ,-7 lnaoor 5&MC& 1 t7Qj 1 0 20 <br /> nd\,00 r r—cwcg <br /> IT M <br /> 1_3 <br /> NT_ <br /> J F-1 <br /> EDF Required? Global ID S 'V <br /> System Same as above ,'receded for FDF) (NjLr.d.(,d for EDT) <br /> 1.Reeeked By 4$'X—L-7 3 1703–3 Date Time <br /> C-1 L-018gii 1DateTime <br /> Client F1 Yes 8-No 'in 1 0 14_zC FeA '42— <br /> Address:61906 S.Avsto W. ———— e <br /> 2. Relinquished By Date LTgb-.e 11. Received y Date Time <br /> Send Copy to State Of <br /> City: state Z_A_zip CA?(EDT) <br /> AMP <br /> Y. <br /> Time <br /> Date TIM I Reed-ed By Date <br /> finC �Q Yes UJ No 3' Rel"q'"'d By Date TIM <br /> Attn: <br /> Time <br /> PO#: <br /> BC Laboratories,Inc.—4100 Atlas Ct.—Bakersfield,CA 93308—661.327.491.1—Fax: 661.327.1918—www.bclabs.com <br />