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CHAIN OF CUSTODY AM <br /> PI)SITIVE 781 East Washington Blvd, ANALYSIS REQUEST <br /> Los Angeles,CA 90021 DATE PAGE OF <br /> IMILAB SERV 1 C E (213)745-5312 FAX(213)745-6372 LOG BOOK NO_ - FILE NO LAB NO <br /> CLIENT NAME ANALYSES REQUEST ED• AIRBILL NO: <br /> COOLER TEMP: <br /> PROJECT NAME PROJECT NO PO NO PRESERVED: <br /> ADDRESS OC REPORT <br /> LEVEL: <br /> PROJECT MANAGER PHONE NO FAX NO <br /> MARKS: <br /> SAMPLER NAME <br /> tPnrHed) tspnawrel <br /> TAT(Analytical Turn Around Time) 0=Same Day, 1 -24 Hour, 2=48 Hour, JEW) N=NORMAL 5w_ <br /> CONTAINER TYPES B=Brass,G-Glass,P-Plastic, V = VOA Vial,0=Olher. <br />� SAMPLE DATE TIME MATMX X I�nrH� _ SAMPLE CONDITION/ <br /> SAMPLE DESCRIPTION <br /> NQ SAMPLED SAMPLED WAM 8 ouATM <br /> + s rys COMMENTS. <br /> �W <br /> t <br /> = ' k ., 3 _ <br /> i -'qvh. <br /> a R, <br /> VON <br /> Reon9wshed By ispnahee and Pmled Tierce) a BY(Sgnaaue and Pdmed Name) Dats Tknr SAMPLE ISP med to(lent? YES NO <br /> �4r <br /> newwahed By tSgnalwa and Prmled Nemo) Recened By ISgnahn and Pooled Names Dalt Tlma <br /> 2 samples%rill not be stored aver 30 days.unless <br /> additional storage time Is requested <br /> Fle"W Shed BY(sgnaene ww Pnn*d Nam) Raceiwad eyr(signeaue end PmMed Namal Daw TMM <br /> 3 Storage time requested days <br /> Dale <br /> SPECIAL INSTRUCTIONS By <br />