Laserfiche WebLink
CALIFORNIA <br />LABORATORY <br />SERVICES <br /> <br /> <br />CHAIN OF CUSTODY CIS ID No, LOG N? 11 ' 1 1 <br />REPORT TO: CUENT JOB NUMBER ANALYSIS REQUESTED GEOTHRAChER. <br />.74-44E APO ACMES& -NO , EDE REPORT DYES Flit <br />DESTINATFON LABORATORY — <br />.... a Lk . <br />Cfi "S---Al 17 <br />Di CIS (916) 636-73011 c't <br />CDPH WRITE ON EDT TRANSMISSION? DYES D NO <br />STATE SYSTEM NUMBER <br />PHOK 4 477,44.4...., 7,6 `7-CT - -.2 5:/ "( .- <br />3249 FITZGERALD RO M <br />RANCHO COCIOCNA. CA, <br />2 <br />CJ) <br />M <br />1' <br />,r^.1 IF -YES' PLEASE ENTER THE SOURCE NUMBERIS), <br />oJEL;i waif , --e. 1 9574 <br />. COMPOSI TE: <br />' j•-4-- d(im-iiii.1 <br />OTHER 2:0 <br />-1 <br />‹...) <br />-,ociscovri)ord °-1 1 4,...,,,file,u,,A_ 6ir La k cri 1 1 ._ _)_1,1AsiLis.ide...- < RI -: 'N.:1 — <br />cn \-) -1 TURN AROUND TIME SPECIAL INSTRUCTIONS <br />ra 4^ 44 , t <br />i <br />1 <br />cl A T19 N <br />cz < <br />OR Ziff , e . , ••i .. f16.`, .1/4%.1. .1 g <br />SAMPLE CONTAINER <br />, DATE TIME IDENTIFI ATION MATRIX NO. TYPE • ALT. ID: <br />‘Ast7.20 /,z:15-- iihk A3.1--Z.:4 a2 134 t;.. j1/4- j‘• ,>`--- <br />,.._ <br />Cel.,12 Lk/ 1..... /42.- -74, 1,1-11_,1.;,kiw%,4-2_, 4 rgc. tr.., <br />itivOSCE TO <br />P 0 • <br />i <br />OUOTE • <br />SuSPECYED CONSTITUENTS PRESUMMVES; 44) NC 13) .,. COt 0 45)- Nao. 47). <br />as )4N0, 44) . N•011 (6) ' ("AA <br />RELINQUISHED BY (SIGN) PRINT NAME) COMPANY DATE f TIME RECEIVED BY (SIGN) PRINT NAME i COMPANY <br />Al. Aill littv) e) L <br /> <br />4/41.8-4 <br />. r - <br />MVO AI LAB ItlY <br />T. <br />bAT'E .• MAE (471-au> 1 <br />COMMONS/ COSNAINTS - -2— I 143 <br />SHIPPED BY: I FED X El UPS . OTHER AiR BILL #