Laserfiche WebLink
I <br /> 77777777777777 <br /> NOo 001565 CT CHEIATECH ANALYTICAL LABORATORIES (916)63S-3962 CHAIN OF CUSTODY-LOG-IN <br /> PR ECT NAME ,L y I RESULTS VERBAL: <br /> C/7c�i T � r�. <br /> Lu <br /> PAGE CLI NT CHAIN OF CUSTODY# D F L Q" of Yes ❑ No ❑ <br /> OF z z �l <br /> OF <br /> CH <br /> TECH HE SAMPLE I.p, DATE TWE MATRIX �� py �I I Q2�o �y TO WHOM: <br /> DATE_BY <br /> SAMPLED SAMPLED <br /> O PHONE <br /> COMMENTS: <br /> P3 - C, :y� r7-7 <br /> 4 <br /> 4`k- 0 ra <br /> 77 Ab <br /> SAMPLED BY: LIENT f-I C <br /> REPORT TO: I +�� (rr�— �' S HIENITECH ❑OTHER ` <br /> RECEIVED VIA: ❑ FED-EX ❑ U.P.S. © CLIENT C-1 OTHER <br /> ZIP: INVOICE TO: r� <br /> moo-+ <br /> ATTN: �r <br /> PHONE_ I'. _ ZIP: <br /> ATTN cx1S EG P.O.# <br /> Relinq' _by:t u r•1 Date/Time Receiv6d bY;fS4•anal <br /> FIELD SERVICES ❑ NO ❑ YES ❑ATTACHED FIELD REPORT <br /> Rel' hed bY:iSown.•1 !D'ateMme Received by: DISPOSAL OF <br /> SAMPLES ❑ NO ❑ YES <br /> NOOF SAMPLES @RATE $TUTAL <br /> Relinquished by;fsigrwu.l Date�me R ved for taborat by: <br /> CLIENT 45T,'!" <br /> i <br /> j ? <br />