HomeMy WebLinkAboutCT 00-02; CALAVERA HILLS PHASE II; CHAIN OF CUSTODY; 2004-04-22ENVIRONMENTAL ENGINEERING LABORATORY CHAIN OF CUSTODY 3538 Hancock Strael. San Diego, CA 92110 Special Instructions Phone (619) 298.6131 Fax 6i9) 298.6141
email eeltmstar2.net
CUSTOMER INFDRUATION ANALYSIS REQUESTED Client Name Phone Number
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Sample CollectedI By:
Print Name ~ogna re
Container
Type
MOM_______
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Temperature IWI -'iiri
TAT Requested Sealed YIN Correct Container SAMPLE INTEGRITY
ReUnquiehed By: Date Received By: RUNQIJ3SHE TO Data Signature
Print Name Time
Sg nature
PnntNarne
Signature
Print Name
Cornpany Cgnipany Company
Relinquiehed By: Date Received By: RECEIVEQ.FOR EEL BY: Time Signature
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Signature
Print Name
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Company Cpany I Print NameiZpl
Notice: The person sigiig For the Client/Company expressly acknowledges that they are either the Clieni or authorized agent of the Client and 'agrees with iie foirowing terms and conditions-Account baJances are due in full 30 days from date of invoice. Balances over 30 days will be subject to monthly service charges calculated at 15% interest per month, 18% per annum.
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