Laserfiche WebLink
CHAIN O~ CUSTQDY iiECORD <br />SGS North ~-,n~eeric~ inc. <br />d 1501-A East Patapsco Avenue Baltimore, MD 21226 Tel: (410) 355-1958 Fax: (410) 355.1965 <br />^ P.O. Box 850 Sophia, WV 25921 Tel; (304) 255-0422 Fax: (304) 255-0417 <br />~ 216 Oxmoor Circle Birmingham, AL 35209 Tel: (205) 942-3120 Fax; (205) 942-0914 <br />^ 5793 MacCorkie Avenue SE Charleston, WV 25304 Tel: (304) 925-6631 Fax: (304) 925-8877 <br />1 <br />~ 2979 Easi Center Street Conneaut, OH 44030 Tel: (440) 224-2261 Fax: (44t>) 224-2808 <br />O 1101 Howard Drive Deer Park, TX 77536 Tel: (281} 930-1919 Fax: (281) 479-4g8g <br />Q 4fi65 Paris Sfreet, Sufte 8-200 Denver, CO 80239 Tel: (303) 373-4772 Fax: (303) 373-4791 <br />O 2804 Hackathome Lane Gillette, WY 82716 Tel: (307) 682-7917 Fax: (307) 582-7951 <br />p Route 2, Sox 162A Middlesboro, KY 40965 Tel: {606) 248-4205 Fax; (606) 248-0044 <br />D 15550 N. Lombard -Terminals Portland, OR 97203 Tei: (SD3) 285-5905 Fax: (503) 285-5085 <br />~ 16130 Van Drunen Road South Holland, IL 60473 Tet: (708) 331-2900 Fax: (708) 333-3060 <br />CLIENT: \w } E~.S t7s.0 <br />y v SG5 Reference: <br /> <br />CONTACT:'""`"' p PHONE NO:(~~) g~ ~ PAGE____~OF~_ <br />~ <br />l~ <br /> <br />PROJECT: SITEfPWSiI?# : <br />N o <br />sAMP~E <br />NPE Ptesenatieea <br />Urea <br /> A <br />d <br /> <br />REPORTS TO: p x L Zg <br />`~ ~~ C <br />O <br />G <br />COMP nay <br />s <br />Required <br />h , <br />INVOICE TO: qUq~ #. <br /> <br />2: P.O. NUMBER: A <br />I <br />~ GRAB 1~ <br /> <br />>1 <br /> <br />LAB NO. <br />SAMALE IDENTIFICATION <br />DATE <br />TIME <br />MATR]X R <br />S :~ <br />N ' <br />REMARKS <br /> N i~~.S .o , I l i sw G <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />5 <br /> <br />.Collected/ ed <br />Date <br />3`O3 ` <br />Time <br />~ ~3~ , <br />Received By: 4 <br />Shipping Carrier: <br />Shipping Ticket No: <br />Samples Received Cold? (Circi YES O <br />Temperature C: l• <br />Relinquished By: (2) Date Time Received By; Special Deliverable Requirements: <br />~~ ~GhailT~l~Cusftody Seal: (Circle) <br />INTACT / BROKEN ABSENT <br />Relinquished By: (3) Date Time Received By: Requested Turnaround Time and Special Instructions; <br />Relinquished By: {4) to Time Rep the By: <br />~/-/ <br />an On rw a hr 1 n Va. <br />am.r. Oew..aeri ..rah DannA __-._-__-.._D:nY-DWeine.{I,V Cer++nle• <br />