Laserfiche WebLink
e�R .s � sw ■� w■ ■wit i_ i_ ■■iwii• I• � � I• � � � � <br /> I" RE <br /> TIONnz ANALYSIS REG AP AND Reference Document7r( <br /> ATIO CHAIN OF CUST�O®TCORD* Page I of � � , <br /> COMRATION <br /> �� Samples Shipment tate 7 Z 01 Bill to 5 � —D� <br /> Project Name/Na _ - <br /> Sample Team Members?�L c� Lair Destination � � U.0 <br /> Profit Center No <br /> 3 ���-- Lab CurUct <br /> Project Manager.4 :j7b k�� _ Project Contact/Phone 12 toReport to- <br /> 13 Camer/ abill No w~,rurchese Order No 'i <br /> I <br /> Wl <br /> Required Report Date 14 ■ 3J <br /> i <br /> Sample 14 8ompla 15 Date/reme 18 ConLein■r� 9�ir,rple Pli'� paqua�ted Te■tiMr� 2D CondNan an 21 p4sposel 22 m <br /> Number D an Treated TWm Volum 60mut m program newipt Record Na. 0 <br /> 1L- a 1 j L��l ` --�j b2 <br /> r <br /> Ll L IT4 <br /> imp n jim <br /> U <br /> R <br /> R <br /> C <br /> a <br /> r <br /> i _ c <br /> S <br /> Special Instructions 23 <br /> Possible Hazard Identafrcation• 24 Sample Disposal 25 a <br /> Non-hazard Flammable C,� Skin Irritant 4j Poison B Qj unknown g Return to Client g Disposal by Lab - Archive {mos )!'x <br /> Turnaro nd Time Required. 26 QC Level-27 <br /> Normal RushQ I I)CJ III IJ Project Specift(specify). a <br /> 1 Relinquished by 2 ,�f1 Date` A- of 1. Recenred by Cate �1 Z u <br /> il�.J t <br /> (sppneture/AFFiliswn) Time d Isrenewm/Affil,eooni Time L <br /> 2 Relinquished by Date; 2. Received by Date. a <br /> IftnaWm/Affilleven) Time, (51g►�ewre/ARiiaxJan) Time <br /> 3. Relinquished by Date: 3. Received by Dom- <br /> I9On8hffVAff9M0n) Time` /Alii on] Time <br /> Comments:29 <br /> WCA fI,"I <br />