Laserfiche WebLink
SEQUOIA A-MALYTZC, SAMPLE C IPP-IMG . <br /> 1 ENT NAN14: DATA Icceivcd t i h: [(73 DrWdng wAW for <br /> REC.BY(Ptt1NT) 'P�vIE i{eccived 0 Lab: �t regiilatory purposes: <br /> WORKUP&R: � ( 3B511 LOG IN DATE: ' 0 V admater for <br /> = regulatory parpasea- U <br /> iy <br /> _ I <br /> CIRCL'Z TJIE APPROPRtAT&IW�SPONS& IAB - 'CONTAIIYf�R SAMPLE DATE RKMAM: <br /> SA3VII LE# 9 CLIENT M ])FSCRIPTI N MATT SA1VIl?LED CONDFIMON TC. <br /> 1, Custody 5eai(s) Present AUsc:i <br /> 2. 'Chain-of-Custody � <br /> { f# - <br /> 3. 'Mif'rc Reports-or <br /> Packi 1. is plan! scut <br /> d, A!Fbill: AErb]lll <br /> PremqAbOD <br /> 5. Airbill C. _ a k_/ <br /> b, Son le Labels: l Abwnt <br /> 7. Sample IDS: is cd I Not l..lsted' - <br /> ml Ch0n-or Llistoci <br /> S. Sample Condition; {BrokW/ - <br /> (Ixdl 119* <br /> 9. Does inlonnalion on <br /> custody reports traffic <br /> rcportsandsar�aple �- .-' <br /> Mbets a 7 Y Molt <br /> _ I0. Sampia r�lved within - - _ - <br /> hcli time;{NbR <br /> 11, t'inper l'res�'atives ' <br /> ersad: • AwINo- <br /> 12.Temp Rei.at Lab: <br /> Ls iemp 4+1-2C? Yes k <br /> {Accucen:nge dor saiupica req,�zi ' L lames.) <br /> *#E don(if auy),-McWIs/ 171ro ipm7{DFFnoim? <br /> or Problcin GOC ` <br /> Smy*Reoelpt Log #IF L�r�e.I contact Lro <br /> ;JectManiqgrand Mach record of resolute n. <br /> ReVmW 21(MM <br /> Rep6onRVA"2.1(0411i Pageof <br /> Efford s IMAM - <br />