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ALS Laboratory Group <br /> MA .I CAL CHEMISTRY a TESTING SERVICES <br /> Canister Chain of Custody <br /> Environme ital Division AWL.S <br /> Client: siF- PIF/L O g Z/G - Project/Job/Task: j^+ r�e ^It G f_Lr✓ #(0.1 S1 <br /> Account No: <br /> Please do not apply adhesive labels directly on Canisters ALS <br /> Manilla tags are provided,attached to Canisters for your convenience,to apply adhesive labels use only <br /> m <br /> rn � rn <br /> _ a <br /> E 'a <br /> L E E - m <br /> v Q E <br /> E m i v o <br /> E mE Em <br /> N (O U O U O N ¢f <br /> U > j c Li > y j y VJ U <br /> lO U U <br /> ICanisferSeralNo.: o A 6 s t <br /> 0 jv� 5 IJ if ?2� 7 >3o LL V (o02—/r4L oR,,"1- 1 <br /> 1- 1 0 <br /> S%wt C rFi <br /> 0 j q 26 f/ j ?�o Lea-.TA <br /> Io� 2�3 'Tz3n >�� z �z•a��- tas <br /> apT rr aSr+.5s1 <br /> VFR Serial No.: 5 k ,- <br /> 03-75- <br /> 0 Zt&3-7s0Zt6 <br /> 0 F-7 89S <br /> Original Field Sample Chain-of-Custody Return to: <br /> R is ed By:(Si qat e) Date/Time Received By:(Signature) Reason for Transfer/Storage Location ALS Laboratory Group <br /> p <br /> 912-111t ! °f5 133v 960 W.LeVoy Drive <br /> ern{_ vw Com( f lr / Salt Lake City,UT 84123 <br /> 800.356.9135 <br /> If canisters are kept for longer than the original project scheduled sampling, a$40 per can-perweek rental fee will be assessed.If a project is cancelled after ALS has shipped <br /> cans, in addition to the cost of the initial shipping,a$40 weekly rental fee will be charged for each unused can until they are returned to ALS. <br /> c <br /> ,r <br />