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i'i,L*1�Sf C`UAit't,iilE <br /> AL> Laboratories,Inca Chain 1Custody r _t rt�23tnrt;:tr�: <br /> Report T'n: 4 - <br /> a 4 a project#: Page of <br /> f:liettt:r'�t ry-t' �S,SSJC• TAC,. <br /> Attl _ _-- - C®mmerts: � r �: , � ' Vx <br /> r <br /> Street Address- 30� Global ID#: <br /> City,State Ziar� .�� 8atles(s):..Pr;te V ; <br /> Phone:63b li ax: 3(� 3`I-�drS; P iks CDT j e r- Wc,i is I <br /> Sample Matrix , Are there any tests with holding times less than <br /> Email Address' ,6 or equal to 48 hours? <br /> ::adv— frss�`� .ri?�_. c p <br /> Work Order#: 1 3 Elves No <br /> (J 3 *Standard Turnaround=10 work days <br /> • :, P a v 3 Ottter Notes <br /> Well j"14 C��#_.4 � l8 � 1325 x - <br /> Z IN d _, _ 1 -S <br /> ,-_—.. ._ <br /> Y ., , ,z 3X <br /> 01 "r d (� l� v i S �U X D <br /> Sante as above <br /> Report Drinking Sample Dtsposat n QC [J EDF E]Raw Data Special Reporting <br /> ❑ <br /> Waters on Stale 1"orm: ❑ Returu to Client Dispnsai by lab ❑ Arch(ve: Months ❑ <br /> Client: �,WC4 r( ❑Yes�� L.act b [ 1. Rett sh BY---A- Date Time 1. Received By Dat 'Time <br /> r _tNo ' <br /> Address: �� /1� <br /> rr� . Relinquished By D to Time 2. Received By D to Time <br /> City: dt2si/t Gc� Mate C Zip S 33 CA d Copy to State of 2 <br /> Attn: !S°,`s'•� `� ' _. YeS (�X o 3. Relinquished By Bate Time 3. Received By Date Time <br /> PO#: <br /> BC Laboratories,Inc.-4100 Atlas Ct.-Bakersfield,CA 93308--661.327.4911--Fax:661.327.1918-www.belabs.com <br />