Laserfiche WebLink
M M M = = = = M = M M MMVM M <br /> 51 Allen A,, 11114 E C <br /> ;Mel MarAnalytical (8 4)26110212 (9�09)n370 46674 Suite A 18 8)779 1844 06 Suite C 11 (6406 j 8 82h72 Suite 1 <br /> FAX{714)261 1228 FAX(909)370 1046 FAX(818)779 1843 FAX(602)968 1338 <br /> CHAIN OF CUSTODY/REQUEST FOR ANALYSIS <br /> Client Name/Address (SdO Project v <br /> J'-W' <br /> 'Ib <br /> � <br /> V"''-W'JQ S'IbC tr' 0 -S Analysis Required <br /> Project Mana&t Sampler <br /> W V�-i ► Low r e\Ac. <br /> :50-TA _v � ►,, <br /> �Z Special\ <br /> Sample Sample Container #of Sampling preservatives Q � Instructions <br /> Description Matrix Type Cont Date/Time <br /> POt 2J"a JAG I-'C! - <br /> A <br /> 12121 <br /> 1 <br /> W Ge. V217 I <br /> VA <br /> 12 3111 <br /> } <br /> a , <br /> r <br /> l <br /> Relinquished By Dater ime Received By DatelTime Turnaround Time (check) <br /> same day 72 hours <br /> 24 hours 5 days <br /> Rehnqu+shed By Date/Time Received By Date/Time <br /> � 48 hours normal x <br /> Sample Integrity (check) <br /> Relinquished By Date/Time Receive'q in Lab By Date/Time r <br /> intact on ice I <br /> Note Samples will be disposed of after 30 days -!J �m <br /> —� J <br />