Laserfiche WebLink
4� <br /> CHAIN OF CUSTODY RECORD <br /> OAYE ! 5GO JCg Na <br /> - Lpg,pMTOR'!Lt7C1tTION <br /> LADO;TORY <br /> PROJECT <br /> CIJENY '1 (~ <br /> / / 1^ •-� �� AMPLER(Signelul-i I r 1 <br /> PPOJECT MANAGER _ <br /> r <br /> -sad No.d V. Plesavralion Test.Requlled . <br /> h baMs'AM method <br /> TYAe Yasse <br /> Leelary ple t.crillon end DeserlpYKolma n D.I.Dal• ,r 1 <br /> .....J<�I.. .......................... <br /> No. <br /> Na, <br /> da ........................... <br /> rr <br /> 3 3d� / <br /> i CC <br /> .... <br /> 7 ........ <br /> .. ............................. <br /> ................ .r 1 5 L(-V— <br /> TEST it p•- REQUIRED <br /> SAMPLE MATfb%' <br /> VESSEL TYPE <br /> I' <br /> Air A <br /> �,i,or a inches long <br /> A _ <br /> yY 1 grass a srLlnless deal 9,.0,2'&mh diemetar try 1, aSolid <br /> s1ea1 sI_,1 ,inc <br /> 1kh dAM01er by i Inches long <br /> 2 Brun u stemless W+tar <br /> 9 gslnhs�steel steeva,1 Inch diameter by 0lnches long ' <br /> p other D <br /> i Ambel 9""bortle vAth To lined screw ceA.1.000 millllnen PRESERVATION METHOD E - <br /> $ Amber glass boots with Tenon lined_,_cap.2w m+llltitan A A1ldi6el ice F <br /> g Clear <br /> ounces <br /> glaze ler w1h Tenon lined scre+.ceP,a d B <br /> g NaHSDi D <br /> 7 VOA J.I.e0 tnllilIU s C HNOO H <br /> S Mason W.1 Pinl or 1 9uart D None 1 <br /> g F1061 bollle,llklar E Other J_ <br /> / TIME: - � <br /> - 10 Olhu DATE: <br /> RECENEG gY:(�alura( f <br /> R£UNOUISHED BY:(59",P"") + - <br /> ,a DATE: TIME. <br /> j RECENEo tagnalure I <br /> RpLINQuisRE0 SY:(SV-lul l <br /> ED FOR L&&ORATORY l •(sienewr�l <br /> PELSNM3ISHED BY:lSign us), <br /> 1 � ' <br /> /r �i•. SAMPLE DISPOSAL: cal h Lab sher 60 days ? <br /> I TURNAROUND TIME: R.I. la SGC, Propel d+spa Y <br /> M�rypD OF SHJJIPMENT: I I <br /> • <br /> SPECIALINSTRUGTIONS: <br /> HANOUNG INFORMATION <br /> Piny Retum to SGO wAh Rsuds _ <br /> Whd, SGDCapy YenoN Lalwraloly COPY <br /> sinal.Gardlier & Durvte, frit. <br /> 5855 Olivas Park Drive <br /> • Ven[ura,California 930Q3-7671 a (805) 650-7000. FAX(505) 650-7010 <br />