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Get ALS Environmental Chain-of-Custody

NAME SITE ID TURNAROUND DISPOSAL PROJECT No. EDD FORMAT of By Lab or Return to Client PURCHASE ORDER COMPANY NAME BILL TO COMPANY SEND REPORT TO INVOICE ATTN TO ADDRESS ADDRESS CITY / STATE / ZIP CITY / STATE / ZIP PHONE PHONE FAX FAX E-MAIL E-MAIL Lab ID *Time Zone (Circle): Matrix Field ID EST CST MST PST Sample Date Sample Time # Bottles Pres. QC Matrix: O = oil S = soil NS = non-soil solid W = water L = liquid E = extract F = filter For metals or anions, .

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