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<br /> <br /> <br />1 CHAIN OF <br />SGS Environ STODY RECORD <br />ental Services Inc. • Alaskaocatlons NatlonwlHawaii <br />• Louisiana • Maryland <br />• New Jersey • North Ca <br />• West Virginia - <br />VM'W.U4.9ga.COm <br /> <br />a <br />CLIENT: 1 ~ ~ SGS Reference: <br /> <br />....-~ <br />CONTACT: ~ .. <br /> <br />PHONE NO:(~ ~) ~~~~ V rr~~ <br />~ '_ ~ lJ <br />~ t~O3 <br />PAGE <br /> ~~ P <br />th <br /> <br />PROJECT: <br />SITE/PWSID#: <br />No <br />SAMPLE <br />TYPE reserva <br />res <br />uses <br /> Analysis <br />REPORTS TO: E-MAIL: <br /> <br />FAX NO.:( ) O <br />N <br />T C- <br />COMP Required <br />~~, <br />O h <br />INVOICE TO: <br /> <br />2 QUOTE # <br />r P.O. NUMBER A <br />N <br />E GRAB /~ <br />`{/ 1 <br /> <br />LAB NO. <br />SAMPL <br />IbENTIFICATION <br />DATE <br />'TIME <br />MATRIX R <br />S <br /> <br />RE <br /> <br />RKS <br /> ot~ o z4,o s~! 3 ~ ~ - ~ ~ <br /> tort <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />5 4 <br />Collect elfin i he y:(1) ate <br /> <br />,~~ Time <br />.-~- Received By: Shipping Carrier: <br /> <br />Shipping Ticket No: Samples Received Cold? (Circl <br />' <br />Temperature 1C:_~ Y E NO <br />Relinqu y: (2 <br /> <br />,~~-~~""'~ ate <br /> <br />~~ Time <br /> <br />'t~ Received By: <br />_ Special Deliverable Re irements: Chain of Custody Seal: (Circle) ,i. <br />f, <br />INTACT BROKEN <br /> <br />ABSENT <br />Relinquished By: (3) to Time eceived By: Requested Turnaround Ime and Special Instructions: <br />Relinq hed By: (4) to Time Received By: <br />J 200 W. Podar Drive Anehorog^, AK 99518 <br />J 5500 Businoss brive Wilmington, NC 28403 Tel: (907) ~ <br />Tel: (910 2-2343 Fax: (907)561-5301 C] 1270 Greenbrier Slroet Charteaton, WV 25311 Tel: (304) 34 <br />50-1903 Fax: (910) 350.1557 6 5 Fex: (304)346-0761 White -Retained by L.~b <br />Y9110w - Returned with R6 <br />Pink - Rotainetl by Sampler <br />