Laserfiche WebLink
,.� .:ifSyvf. xLTit <br /> . <br /> CHAIN OF CUSTODY RECORD <br /> SAMPLER <br /> .Qp,Omny <br /> � S -�9�/ <br /> 4191-€Power Inn Roan,Sacramento,CA 95825 19161452-2901 <br /> Phone.' <br /> +Fremant •Costa Mesa +Sacramento <br /> LABORATORY: / SHIPPING; INFORMATION: <br /> in c C ,. ens 4 Shipper <br /> Address <br /> / bate Shipped <br /> TURNAROUND TIME Z/� /i-5 Service Used <br /> Attention. c�iAirbill No. Coolor No, <br /> Phone No. -- Ql - 2�-; � <br /> Reiinquis at r R"vea by.(signatures? 021e f Time <br /> I <br /> Recatvep_for laooratory Dy. <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND-'RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analvsas Sammie Condition <br /> NO. ^` identification Sampled Requested Upon Recsiot <br /> -12 <br /> 11rti <br /> c,d <br />