Laserfiche WebLink
INTERNATIONAL R/A Contra!No. Z -1l`000, ► i <br /> TECHNOLOGY CHAIN-OF-CUST'^%"'!-9ECORD <br /> CORPORATION <br /> 1 I•.': {� ) CIC Control No. 50 ' --)7 <br /> PROJECTNAME/NUMBER I �' ~." I�ly ? LABDEStINATIQN �0,9� << y f <br /> SAMPLE TEAAr MEMBERS _ ��� +?�R� _ CARRIER/WAYBILL NO. <br /> Sample Sample bate and Time Sample Contslner Condition on Receipt r Disposal <br /> Number Location and Description Collected Type Type (Nama and Cate) Flecird No. <br /> 2z13'0 5o fr,ss # <br /> h <br /> 13'1 1 <br /> 5 S —P3 <br /> I Yfwic. L),�cr r•� <br /> rti 1 350 <br /> Special Instructions: <br /> i <br /> Possible Sample'Hazards: rj P 01 <br /> SIGNATURES: (Name, omp ny flat and T+diel A <br /> 1. Relir dished By:_ {f ! & <br /> 3. Relinquished By: f <br /> :aived By, < ti.. jo9� �1 (IZ /', Race!-,,red by: <br /> 2, Relinquished By, 4. Relinquished By: <br /> s <br /> Received By: Received By: n <br /> i <br /> —41TE: <br /> .. .-LLo ....Jcop ti•'�Ples`. L . . - �.�.. I <br /> .t <br /> I <br /> � a <br />