Laserfiche WebLink
co <br /> +-R <br /> unStar Chain of Custody Record <br /> 0 <br /> Laboratories, Inc. <br /> 00 <br /> PROVIDING QUALITY ANALY-KCAL SFRWr-r,N,,TfoNwTDE <br /> N <br /> 5712 Commercentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 <br /> Client: LC-44(r Date: ��ia Page: 1 Of -� <br /> Address:-. ;�i� ' "111.6- 9118., 12 -1 CA Project Name: L4,,k1CWAA'_ PAZCA <br /> Phone: q(N';666 Fax: Collector: i•raw Client Project#: <br /> Project Manager: kLw 4. + - Batch 9: f -2 31,1 EDF#: <br /> a � m m <br /> } u CV q3 C <br /> x c m <br /> O m C <br /> Lt } X, x � m U o o <br /> o D w o Ii o <br /> m + m m g r• U <br /> 0 Date Sample Container ry u" n 'n o N m <br /> � Sample I❑ Sampled Time Type Type cv cv cv cD co o o a o o CommentslPreservative ° <br /> p P YR YR co w co m 0 0 m m C1 Ci !C <br /> 61 1;J(1 UWAS <br /> d s- <br /> 0 7 . 1 Wu <br /> "Jw_ <br /> - � <br /> 0x- iJ o YS <br /> r 3 ;L'Xo <br /> JUM <br /> r'1E - .0 <br /> r 112 <br /> 131- 7t� <br /> Relinqui d y: (signature) Date!Time Re�ei by: (signature) Date 1 Time Total#of containers Notes <br /> IV �:So L �l �J Chain of Custody sealt/NA CMC., i,�inyture] Date 1 Time Received by: (signature) Date 1 Time Seals intact <br /> n Soc j f� <br /> li-JuG ( $GAT GLS Received good conditionlcold <br /> Relinquished by: {signature} Date I me Recei ed b : {s nature) Date 1 Time <br /> 7-11-2 3 Z310 Turn around time: o <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br />