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Laboratories,Inc. Chain of Custody Form <br /> ------------ <br /> cliertu, 1,Q549AzcdProject#: <br /> Attn: tRXt 16'A &I 1AA Project Name:M' Comments- <br /> L3a+(Q_ <br /> Street Address: � Global ED#: <br /> City,State <br /> Zip: VAff Lb Sampler(s) A A <br /> es <br /> Phone: Fax: <br /> Sample Matrix Are there any tests with holding times lesS than <br /> or equal to 48 hwwP <br /> 'rdmrl <br /> gmA <br /> Email Address: . 'ftJ <br /> h3.cry b <br /> qro <br /> El Y.. '10 No <br /> Work Order#: Standard Turnaround=10 work days <br /> 13 Sa 0,_5 <br /> Cn Other <br /> Notes <br /> 36 <br /> W0 1-1 MA-14 NZI 6 <br /> I&A )S--n M6 <br /> 01 -5 <br /> 7 <br /> 01111 lot 4�N <br /> dK2 <br /> 1k, 1O4 IX <br /> Ng-C U.C3 <br /> Special Reporting <br /> Same as above EDF Required? SampleDisposalE] OC EDF E]Raw Data <br /> 0 Return to Client Disposal by tab Archive: Months— <br /> P <br /> Client 0 Yes D No eFftuish By,4 tj Time I Weied By Dat ime <br /> — % 11 106 <br /> -7 <br /> Address* <br /> --———— 2. Rlinquished BY Time 2j-9mri-ed By Time <br /> Cur.. State zip r§end Copy to State r <br /> - ?(EDI) <br /> to Time <br /> 3. Rectivep w, <br /> Attn: �(Yes No 01)"Im OWL Afnnl,j2. <br /> PO#: <br /> BC Laboratories,Inc.—4100 Atlas Ct.—Bakersfielcf,CA 93308—661.327A911—Fax:661.327.1918—www.bclabs.com <br />