Laserfiche WebLink
i aboraltories, Inc. ``< Chain of Custody Form <br /> R ra + s t <br /> Client: =; iia 2.,s1 Project#: Pae of <br /> Attn. ,e"ry, i rf x Project Comments _ �r,�e ....�•, <br /> �� .>� /J 51 ;._LAS.-'�i Fc,•, 4.. <br /> Street Address: �,� r', � , 4`b' l+llal ID#: <br /> ..4 ianl�„ eTCltNYte 5 '"" <br /> Fa <br /> 3affi})le Matrix there any taste with bolding Mmes less than <br /> Email Address:i *` i <ai + ,[r or equal to 48 homrs° <br /> 41 <br /> t' ' t % m o ❑ Yes ❑'No <br /> WOrI[OxxleT#: f✓ ,. 1 '; } 3 c a * — <br /> a 4 3 standard Turnaround—io work days <br /> rA C' 0 3 Oilier I Iadotes <br /> 31 <br /> r d"Y 1 1 1 ti i .s`"'.' ... �';Ew•�. jj ?°4.C._+. i 1 r <br /> 3 �+' <br /> f <br /> F-1Sameas above EDF Required. <br /> Sample Uisposal Ya: Special Reporting <br /> El QC 1:1 EDF ❑ Radu Date <br /> ❑ Return to Client D=spn�1irj�?ah ❑ Archive` �ft��t'a; <br /> Fra ; i t 1. Reiioquishe�i Ay Date Time t Received lly-�+ {} 5 x M Date Time <br /> h M1. r-- t A <br /> Client: ❑1'es No J? q t <br /> e.... ; ( !”^�S;'. n Y a`pF �"�. +C ;,.4.d {r " 7 af'l+ '3 ; .- <br /> f Jl '.•°, i'•1'137 Y`r .k __�..�_ _ # L'_id 1 .•�.,J 't4 l' `Y + <br /> Address:eS: —s = S <br /> m t T 2. @ielingnished 33y Date Time 2. Received By <br /> Date A Trmery <br /> ` a +," L?, 'gyp� i Send Copy to State of ' <br /> t L 1:+ JI 9r CIL-State ? IID .f`. ' Ae k: - u +�..AJ'-•°J>(' <br /> (1y CA. (EDT) _.....,,._ <br /> Attn: <� §` ' ` `;` it" „int Yes ❑No 3. Relinquished 13y Date Time 3. Received By Date Time <br /> PO#' . <br /> BC Laboratories,I.ne.-4160 Atlas Ct.-Bakersfield, CA 93308-66].327.4911 -Fax:661.327.1918-www.bclabs.com <br />