Laserfiche WebLink
C <br /> CD0 <br /> 0 <br /> 0 <br /> _ s <br /> N <br /> N BC Laboratories,Inc. Chain of Custody Form <br /> n <br /> a <br /> c � <br /> Report To: / <br /> Client: C Project#: Page of <br /> C QO <br /> " ? c K to <br /> 1 o Attu: °f, Jl•4-1 A Project Name:�S WAS AKN Comments: <br /> 0 o CL <br /> Street Address: ! C 5�'tS -2'♦t C-05 0 O <br /> CD , <br /> Ci State Zi Sac L Q Sam ler(s): C• A J O CO <br /> D =° Phone:SS q�G Ly 81 1\ Fax: vo A /A <br /> pt < }"' Are there any tesls with holding times less than O `v <br /> Sample Matrix <br /> o y 3 EmailAddress:a ir. �pJ �� orvesti,auoaehoar::No n o to <br /> Ski l4 Go l Fin �- <br /> �' tel'1 l a s ❑ �• <br /> a Work Order#:` �� 3 3 0 O m <br /> Standard Turnaround=10 workdays <br /> Sample Description Date Time <br /> o N <br /> 0 - Notes O <br /> '� 1' �'" rn rn O C7 3 Other 1 8 • <br /> 3 11 <br /> b �L f`1 GCj`j� X �c CZ v�Iv LJ b <br /> �'1 C a , <br /> ITLL- <br /> cora <br /> cW,, r3 N <br /> CO O 0 <br /> O <br /> 2! N <br /> A to <br /> V <br /> p m � <br /> o n O <br /> r � <br /> a p N <br /> X o I Ci B ESTRIBU <br /> m <br /> c a <br /> w2 <br /> � a <br /> J " S <br /> CO � a • <br /> Q a o EDF Required'? Global ID System# <br /> Same as above <br /> Geotracker (\eeded for EDF) INcedcvl for ED'C1 <br /> F, r Client: C� nt�j1 linquished Date Time 1.R ce'ed Date Time <br /> P �G n J ,� `b . Yes ❑No (o, ,1 <br /> 3 ? Address: ——---- <br /> 2.' Send Copy to State of Re' uish y Date Time 2.Re ived By Date ! Time <br /> t <br /> c 7 77 <br /> 3'n <br /> City: b�3Sa ILS State Zip �' CA?(EDT) '/�' C. .,r-- �'- i"/ <br /> ° Attn: Up(1 X 4`r 3.Reli quished By Date Time 3.Recei Date Time <br /> s <br /> Ye <br /> No <br /> C3- � �� $3D b •�6•/''/ <br /> PO#: <br /> BC Laboratories,Inc.-4100 Atlas Ct.-Bakersfield A 93308-661.327.4911-Fax:661.327.1915-www clab,am <br /> CD0 <br /> m <br /> W <br /> 0 <br />