Laserfiche WebLink
Inebea esting Services Dallas 1089 East Colh 3,Rieliardson,Tr 75081 (214)238-5591 CHAIN OF CUSTODY ORD <br /> EW Report to Invoice to ANALYSIS !_ab use only <br /> Company Company .c�.� .�' _ REQUESTED Due Date <br /> Address ^5 - Oq Address <br /> 7.)) Temp of coolers <br /> when received(C°) <br /> .11 <br /> Contact Q,f. C,"-4 c,— Contact _��� Ltr�c„�. t 2 3 4 5 <br /> Phone Phone <br /> Custody Seal N/Y <br /> Fax PO/SO # <br /> Intact N 1 Y <br /> SamSampler's Name S m ler Signature Screened <br /> P P 9 For Radioactivity <br /> V L-I& <br /> Prof No Project Name No/Type of Containers <br /> Matra Date Time 01 <br /> ,D a Identifying Marks of Sample(s) VOA AIL 250 Plo r Lab Sample 1D(Lab Use Only) <br /> P b <br /> W IGM -Z cr <br /> Liz> X ik a l <br /> CA — ;Z> <br /> ! C) oc <br /> Turn around time ❑Priority 1 or Standard ❑Priority 2 or 50% ❑Priority 3 or 100% ❑Priority 4 ERS* *BTEX(60218020) TPH(418 1 or 8015) VOLATILES(624/8240) IGNITABILITY TOTAL LEAD(6010) <br /> Re nq by (Signature) Dae Time ceivad by (SI ature) Date Time Remarks <br /> .. <br /> Relinquished by (Signature) Date Time Re roed by (Signature) Date Time <br /> Relinquished by (Signature) Date Time Received by (Signature) Date Time Client s delivery of sampes constitutes acceptance of lnchcapellTS Dallas terms <br /> and conditions contained in the Price Schedule <br /> Matrix WW Wastewater W Water S Sod SD Solid L Liquid A Air Bag C Charcoal tube SL Sludge O Oil ITS-Dallas cannot accept verbal changes <br /> Container VOA 40 ml:vial AIG Amber 1 Or Glass 1 Liter 250 ml Glass wide mouth P10 Plastic or other Please Fax written changes to <br /> 214-238-5592 <br /> OFFICE USE ONLY <br />