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Get Chain Of Custody Pdf

: Name Company : : Signatory RECEIVED BY : : : : Special Instruction / Comments (billing details, QC Reporting, etc.) : FOR LAB USE ONLY Cooler Seal Intact : Date Time Name Company Signatory : Date Time : : Name Company : : Signatory Yes : : : No N/A Cooler Temperature : : : Date Time Date Time O C Frozen : Yes No : : : : Cooling Method : Icepack Ice None.

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