Laserfiche WebLink
Chain-of-Custody Record � pate/a rQ -ys Page of <br /> I1.28 <br /> Project a.:C Z,Q 7 7 ANALYSES REMARKS <br /> Sa 1ple sl matures• � <br /> Additiotlal Can1111CIAS <br /> L o r v o CO (QAPP,CIA samples,etc.) <br /> Vi '17 <br /> o CO CO m m — N c <br /> rc, �p <br /> NC3 10 <br /> 0 D P O 10 �l/ p F� �I fell T•,C' r .... .�.. �. ,'•. Jc <br /> IS <br /> C <br /> 5 ar a m a1 n n d d u 11;, . n -r:� ..,, 1'[ r� �1�s,•1 e\ <br /> o at v v �' = o <br /> Date Time Sample Number u d _u. r•� !_r [, r• -� vr� . <br /> ,n <br /> on w a 0. a O 4 t-i� w w w w it F- w 1- u ii ¢ z <br /> eol )e <br /> CIL <br /> do z <br /> -- -- r,P4 <br /> 03 <br /> S�u1�1 '• `C-co — S X X -- <br /> 1 0.0 <br /> GOA <br /> 16 07 <br /> y <br /> Turnaround time: Results to: _ <br /> ��•• Total No.of containers: <br /> ('t.,. y,.,..9 tL1; � 1t� Ff`Fr���•.1 Jf <br /> RellnquiShed Uy slgna�fek Date: Relinquished by(signature): Date. Relinquished by{signature): uate: Metho(f of Shipment: <br /> ,� �` x•74 `t' � r:'••-' , s/ �__ <br /> Tr. <br /> PFIi1 e/Wine:, Printed Name: Printed Name: Laboratory Comments and Log No: <br /> - Time: Time: Time: <br /> Compan . Company: Company: <br /> Receiv 0 by lsignatur r ) Date: Received by(signature): Date: Received by(signature): Date: <br /> , . • . l�(�.•r <br /> Printed arae: Printed Name: Printed Name: C3rgnm93tirix Cnnaultanta� <br /> I J V Time: Time: Time: <br /> _ 1' �7 2444 MO.,S1:1'BHt:,Sults 295 <br /> Company: 1 ,77 Company: Company: 1-i-ent Ka.C'nhIcn-i do S:3721-27:34 <br /> CA 12091264-2525 <br /> JeO91 254-7431 FAX <br /> olsiribution: white.Yellow--Laboratory P61k—OrIghlator <br /> �I i <br />