Laserfiche WebLink
OL ALPHA SCIENTIFIC CORPORATION , Page of <br /> CHAIN OF CUSTODY RECORD Lab Job Number <br /> ✓Bear. , - <br /> S Udh. t{ 'f t G Cur - Analyses Requested - � - T.A.T. Requested <br /> Address - - 'S <br /> Rush S 12 24 his <br /> J6Ve CiriCe >fr;tPS Cli y0703 o 2-3 days oNormal <br /> Report Attention Phone ti Fax z Sampled by S 1j~ Sample Condition <br /> project NaMUN0. - Project Site _ _. - _ . 1 t c� O Chilled ❑_ Intact <br /> 0 g _ ❑ sample Seals <br /> E g L y <br /> SamplerCoUe,,,1 o o o .l • . C Remark <br /> Client Lab Matrix Sample & size of <br /> Sample ID Sample ID Date ' Type Presery container00 <br /> IAJti' _% 3 S /,s ui � `lM v u e x <br /> f <br /> l <br /> 1 <br /> Relinquished byf Company /2 �>Date . Time Received b Company Da Time <br /> Azz G �'7 � ' � (�y �"� {rfm Container types: M=Metal Tube <br /> - A=Air Bag P=Plastic battle <br /> Relinquished by Company Date Time Received by Company Date Time G=Glass horde V=VOA vial <br /> Alpha Sbienfific Corporation Note: Samples are. discarded 30 days after results are reported unless other arrangements are <br /> 16760 Gridley Road Tel: (562) 8094880 made. Hazardous samples, will be returned to client or disposed of at client's expense.." <br />