Laserfiche WebLink
Laboratories,Inc. L Chain of Custody Form <br /> W . <br /> Repo',To: <br /> Client: AW ED PrQ!ecA-Fa- W-YI-114" Page --L of I;-- <br /> Attn: Comments: <br /> Project Name: <br /> Street Address: h Global ID#: s 7,1111'"N to 1"i hm' 'k OV'J's <br /> City,State, ip: Sampler(s): . L11 <br /> Phone: Fax: Vii, r,g 'ti( ,s nd m ;Itlh ,d <br /> Sample Matrix Are here any tests with holding times less than <br /> Email Address: sxmnaxg 6 11 or equal to 48 hours? <br /> Work Order#: 0"o Yes <br /> Standard Turnaround= 0 work days <br /> 0 <br /> 69 <br /> Other Notes <br /> 4FTF ElKLAffW-N 110D Mlt3 <br /> /V <br /> ClqK PY, I <br /> _711 <br /> 3 Jf!R-Q, rr <br /> z <br /> Same as above EDF Required? Sample Disposal Special Reporting <br /> 1� Return to Client F-1 Disposal by lab 0 Archive: Months- QC EDF 0 Raw Data <br /> Client: El Yes 0 1. Uelinqu JW Dlte Time 1. Received By Date Time <br /> Address: M % <br /> "ft 379 <br /> .. I IV, % <br /> Send Copy to State of 2. nis el Dale I Time 2. Received By <br /> Date Time <br /> City: State Zip CA?(EDT) -? <br /> " <br /> kttn: ❑Yes )Izo 3. Relinquished ly Date Time I Received A Date Time <br /> PO : I <br /> BC Laboratories, Inc.—4100 Atlas Ct.—Bakersfield, CA 93308—661.327.4911—Fax: 661.327.1918—www.bclabs.com <br />