Laserfiche WebLink
AdvancedGAn Employee-Owned CompanyCHAIN OF CUSTODY RECORDDATE: page^ OF^Phone: (800) 511-9300Fax: (888) 445-8786OProject Name:Client:STAddress/Location:Sample ID/Locatlon/DescriptionDateTimeProject Manager:MiiWuEmail:Sampler:Lab Project No.:MatrixNotesAnalysis Required5iCjNT-t-\EM-7%)2^mwXvliiXX\LH -69h1mi.0 CSiojo_VyT6<r <XXiXMiv7XRelinquished by:Dale: ,CjzfjT^PTime:Laboratory:j\AP^Courierldc^l/Date:Received by:m.Date:C($~ZoTime:M.Relinquished by:fa/^2^oTime:/fo'OReceived by:Date:U)^9i?0Date:Time:|^;ClRelinquished by:Date:Time:Received by:Time:Requested Turn Around Time: 24 hours48 hours72 hours I 5 daysOther:Matrix Codes: A = Air W = Water S = SolidAuthor!^ Signature:Special Instructions to lab:KMal '^l(i>l262D STFiTGlobal ID:Page 12 of 13