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PLEAS1r COMPLI3M i <br /> Laboratories,Inc. Chain of Custody Form BCLQUOTaiD <br /> xaorr To I <br /> AnalysisRequested 3 61-) 7 8 P e � of 7— <br /> went �— Pro ect# i a Seo <br /> Pro ectName. ' ex.n .11 ,Q Comments: <br /> street Address-�I.\ e r_ la P ect Code• s sr • h-1 to ha f" r l <br /> MY,State Zi ;� dt <br /> aNq 1 <br /> Phone: q-0 Fax: (6 fQ Z 1 t ra lic :,, ,s€1m b,r <br /> �4 <br /> So le Matnx . Are there any tesis with holding limes less than <br /> Email Address: rr..r ani �o r uT cO � ' �_ " o or equal to 48 hours? <br /> M101.0 El Y. ElNo <br /> #• <br /> 3ubmsttal v7 3 3 d 3 o <br /> r - • i a 0 N R o "Standard Turnaround=15 workdays <br /> in A c7 3 Other Notes <br /> I <br /> C>`64 S <br /> -.{ MW 101 n'�C)-Z- <br /> -49 I& <br /> ALU <br /> Zd e(S I <br /> — I I dill <br /> Same as abase <br /> Report Drinking Sample Disposal Special Reporting <br /> Waters on State Form? ❑ Return to Chem ❑ Disposal by!ab ❑ Archive Manths_____ QC ❑ WIP ❑ Raw Data <br /> Client. ❑Yes ❑No 1 Relm Time 1 Received B Date Time <br /> Address: ————— <br /> CI State 21 <br /> Send Copy to State of 2 Relinq s d Date ime x iv ` Dat Time <br /> ty P CA? `b u-o` 1G�a t510 <br /> Attn ❑Yes ❑No lnquis $y ^ Date Time c vedBy Date , Time <br /> Po#• 'A= t9d� Kf C-S 1z 90a <br /> BC Laboratories,Inc -4100 Atlas Ct -Bakersfiek4 C/1? <br /> 3308 661. 27 4911-Fal'6613 7 918--www bclabs corn <br />