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M M M M M M M M M M M = M M M M M M M <br />RIP.''i <br />Client': 65416nn <br />Attn: <br />Street Address: 1 <br />Ci(y, State, Zip: <br />Email Address: <br />Work Order #: <br />Laboratories, Inc. <br />ILI I k r,,,fAo C4,A7�:Wobal <br />'S� 9?Al' <br />h'N"X'Sz!Q <br />Chain of Custody Form <br />PrQiect #: ZQ 1 0 1 <br />Prooect Name-(( )peah� A)b&c <br />ID #: <br />Sam pler (s):bQ. Jq�a <br />Comments: <br />Sample Matrix <br />E <br />hC 0 3 Other <br />ge—L of <br />Are there nay tests edth holding time: less than <br />or eq..) to 48 he <br />Yes <br />Standard Turnaround = 10 work days <br />Notes <br />— — — <br />— — — <br />-- — — — <br />— — <br />— — — — — <br />-- <br />— — — — <br />- <br />Client: <br />Address: <br />Same as above EDF Required? <br />0 Yes F-1 No <br />Glob 11D <br />(Nvll tor EDF) <br />System # <br />(Needed for EDT), <br />1. W dB Date Time 1. Received By Date <br />It - - )A 2? b <br />Time <br />1 Ja5 Date <br />2. Relt wished Dag Time 2. Received y <br />I P �' .1 — I i " - <br />Tim <br />4[00 <br />City: State Zip — <br />Attn: <br />Send Copy to Sta. .1 <br />CX? (EDT) <br />El Yes [I No <br />liroquistred By Do Time 3. Received By Date <br />M" <br />Time <br />,PO#: <br />BC Laboratories, Inc. - 4100 Atlas Ct. - Bakersfield, CA 93308 - <br />661.327.4911- Fax: 661.327.1918 - wvg.belabs.com <br />-P, <br />