Laserfiche WebLink
IC <br /> _— _ 2BS2 Agan Ave Irvire CA 92808 [948}261 70¢2 FAX{849)291 1228 ' e— A A tr <br /> to Daisy Pr soar A GoNan CA 92324 (BOB)370.4687 FAX{909)370-low <br /> - 16525 Sharriun Way Sucre C-11 Van Nuys CA 92408 (81 81 770-18"FAX(Stan 779-1843 = <br /> 8464 Cl a weake Dr Sub 505 San Dwpo CA 92123 (610)BW-96e6 FAX(910)5059689 <br /> owSodh51siS.StdoB120 Phren&AZ&W" (4Bo)7BS-MaFAX[,.)7e5.0a51 CHAIN OF CUSTODY FORM quote No Page of <br /> -- Chent Name — — , P O IProject Number .2S e27 C-�O a�_ <br /> 4- <br /> - <br /> - <br /> - Address - ,�.� 3 Project Name t—"-F",Z � <br /> City 71,4 a g,V State Zip 9 ,z J Z Project Manager KL_ As/E-5 <br /> Tel �� - S(P, - 6(p J z_ Fax e58 -561?_ 0CP9!a' Sampler(s) (signature) <br /> Ll� ❑ ❑ ❑ <br /> -- % S oo w <br /> X ElW 4�� � <br /> - <br /> CD <br /> �.tri` <br /> ❑ W ❑0D ❑❑ <br /> E U m N v T1 eau � � � � ❑ W w <br /> C3 a N _ N <br /> _ 0 O LU a0 l8 iG = 00 CO 00 N Do <br /> Q r(1 1n to 7 = R. Q Q Q W Q 0 <br /> Sample I D g p F a. z H Co 2 Co co 0) o O � w w eau i= + u + -1 n <br /> l <br /> &4_0/0/f tid tr <br /> - - - y). <br /> _ -(41 a zz x <br /> - <br /> 44 0-- Z <br /> T7F <br /> Rd rLna hed by DatelTime Received by Daterrime Turnaround Time (check one) <br /> �tSa — �( �' � Same Day 72 hours <br /> eli ul`? <br /> ished - DatelTlme + Received by Daterrime 24 Hours 5 Days <br /> �i-�9,ol 1 /R 48 Hours Standard <br /> JRelinqujshed%FrDaterrime Re wed ih Lab b D/atlrl e <br /> - — --_ - f /jq �� F f/ p 9 Sample integrity <br /> Remarks _ - Intact On Ice ` <br />_ - Note- By relinquishing samples to Del Mar Analytical client agrees to pay for the services reques Yeon this chain of custody form and any additional analyses performed on <br /> this project Payment for services is due within 34 days from the date of the invoice Sample(s)will be disposed of after 30 days COC-C <br />