Laserfiche WebLink
iwaw NMI 1"k law <br /> PROJECT N . PROJECT NAME <br /> J RECEIVING LAB: <br /> N0. TYPE <br /> L.P.NO. SAM ER igna re/Nu b ) <br /> (P.O.NO. j, OF OF h p <br /> f0�3ld CI <br /> CON- INSTRUCTIONS/gEMARKS <br /> CON- eP }l� `� <br /> PATE SAMPLE LID_ TAINERS TAINEPS . <br /> TIME SAMPLE I.D. MATRIX <br /> MM/DDM' HH-MM-SS <br /> VL- <br /> 2 <br /> z p`fza t4 ti '� <br /> 3 o93o 2° r>248w <br /> a 0g3f 2 adz.{ <br /> 6 ©9if0 23 au - 14, <br /> 6 <br /> It <br /> uo o Tc fn ea rp kaacys.: <br /> r017- 25 a-Is zy - <br /> 6 lot(, It, 7� 2 - to' (QfZ <br /> 9 0 27 - /4 ' LP/ VU TIS S c s 5cl��e S <br /> 10 I.oty 9 2453 — 2' CPP3 <br /> 11 to-l5 .'Z�fi2`o ^ 3' P3 Co7..pos.cc Qt�.o.i r A—�t�vs�s <br /> 12 los3 31 <br /> 13 3Z asZ�- ,t' tens <br /> 15 tSl L-qc, 1b - �' N G)0 cstTLT Yn �n 1� a,- :tayst's <br /> 16 ItS� a:L/T ^ h P`I <br /> t 37 2a�ab rs` <br /> 16 a1 t ip ((910 a2�4p�3[�b ' ?' LPrsC oxn:. W LSTs-13 -14 <br /> 19 t�Zl`a -l7 �� I]/ -� r IN/ 'Vv2+s—R4 -sr <br /> 20 {shz a�,Llp - tz' Q <br /> R Ru y:(Si net,e) Date,T me Received by:(Signature) Instructions/Remarks- Send Recalls To' <br /> / 5- 1,41M ftw 1710 u't � r Porh.• vt- 1F t'ae KLEINFELDER z8i5- E. YRSL� <br /> tl re) Date/ime Received by (Si ure) w07'7 OTE GIRGlSteL" ,G4 <br /> /nryT J�/tll U! Curror�nivr� vrJ 9 Sio <br /> Atte. ��09-9`16-15Yf <br /> mgu .(Slgnalure) Date/Time ecqeive�d for L�aboratory y:(Signalur® <br /> laoo <br /> M-60 White-Sampler angry-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY No 17822 <br />