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JBC> Laboratories, Inc. Chain of Custody Form <br />Page J— of <br />Comments. <br />DT=- AiZA0'Ak4tQA Wo,Z.Xr <br />BC Laboratories, Inc. — 4100 Atlas Ct. — Bakersfield, CA 93308 — 661.327.491,1 — Fax: 661.32 /.191.6 — www.DciaDs.com <br />MUM <br />Are there any tests th bolding tirnes km than <br />or equal to 48 hours? <br />Yes■No <br />I I'vir logr I', <br />iWorkOrder#: <br />Sample Description DateTime <br /># Sampled Sampled <br />Standard Turnaround 10 work days <br />Notes <br />NMI <br />CHK BY <br />-Q.1 --RIBUTION <br />Sample Disposal <br />Same as above EDF Required' <br />BrumE]Return to Client Disposal ■by tab Ej Archive: Months- <br />Special Reporting <br />ac E] EDF E] Raw Data <br />■-E] <br />1. Relinquished By Date Time <br />Yes NO <br />�A <br />Address: 4,0f Q4 kA �A 66 <br />I Date Time <br />te f 2. Relinquished By <br />Send Copy to Stai o <br />citr.—Aba StateCA ZiP12�y CA? (EDT) <br />Attn: r&Yes 11, 3. Relinquished By Date T ime 13. <br />t <br />OPT <br />Received By Date <br />Time <br />Pli*- <br />BC Laboratories, Inc. — 4100 Atlas Ct. — Bakersfield, CA 93308 — 661.327.491,1 — Fax: 661.32 /.191.6 — www.DciaDs.com <br />