Laserfiche WebLink
Pace , Ana tweal � _s 399119 <br /> CHAIN-OF-CUSTODY RECORD <br /> Analytical Request <br /> Client Nj Re ort To Q O <br /> Turn around Time pace Client No <br /> ,,\ [-] 24 Hours <br /> Address Bill To Aq A [j 48 Hours Pace Project Manager <br /> P O #!Billing Reference U)3 E] 3-5 Days❑ 1 Week 2 Weeks Pace Pro ect No 0)8 <br /> Ix Normal 14 Days <br /> Phone Project Name/No 'Requested Due Date , J <br /> Sampled lay(PRINT) Ir PRESERVATIVES ANALYSES <br /> W REQUEST <br /> C. z <br /> Sampler Signature Date Sampled Z aQ 0 <br /> m <br /> �7 <br /> �Z) ° U)0 abq' 11) <br /> � • <br /> It O 0- Q O a 0 <br /> ITEM -�CRIPTIOI,* TIME MATRIX PACE No. <br /> SAMPLE Dr ° _ _ ° Z REMARKS <br /> 1 Awl� ? 12 <br /> 2 ' L TIz 3 <br /> 3 w�Z� ?,rz 2 X <br /> 4 LA:) _ « <br /> 6 , <br /> 7 <br /> S <br /> ACCEPT TIME <br /> SHIPMENT MIETHOD AIR BILL NO. SHIPPING DATE .: <br /> ED BY/AFFILIATION DATE <br /> Additional Comments <br /> SAMPLE CONDITION <br /> Temp °C Received on Ice Y/N Sealed Cooler Y 1 N Samples Intact N <br /> �� Milt: n�R�nr� MMW I+iliN� N <br />