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Get AmeriSci Chain of Custody Record

N: RESULTS TO: EMAIL RESULTS: Y / N WRITTEN REPORT TO: COMMENTS: LAB ID ANALYSIS TYPE AIR FILTER INFORMATION: MCE PC 25 mm 37 mm 0.45 um 0.80 um OTHER: INVOICE TO: EMAIL ADDRESS: SAMPLE ID OTHER RETURN SAMPLES: YES______ NO______ PHONE: FAX: SITE FAX: PAGER/CELL: SAMPLE LOCATION START TIME STOP TIME TOTAL LITERS TOTAL TIME X /MIN. = VOLUME DATE COLLECTED SAMPLED BY: DATE/TIME: RECEIVED BY: DATE/TIME: RELINQUISHED BY DATE/TIME: RECEIVED IN LAB BY: DATE/TIME: AMERISCI RICHMON.

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