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report from Pace Laboratories
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400 Leaf Street - 04-117-23-23-0010
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report from Pace Laboratories
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Last modified
8/22/2023 5:09:59 PM
Creation date
5/2/2017 2:19:35 PM
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Template:
x Address Old
House Number
400
Street Name
Leaf
Street Type
Street
Address
400 Leaf St
Document Type
Misc
PIN
0411723230010
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• ,�, <br /> � <br /> �, _ <br /> Instructions for completing Chain of Custody (COC) <br /> 1 . Complete all Client Information at top of sheet: name, address, phone, contact (person to whom <br /> report will be sent and contact can be made if questions arise), billing information if different <br /> from client, PO#, Project Name and/or Project Number as it will appear on the report. <br /> 2. PACE Client No., Project Manager and Project No. will be completed by PACE. <br /> 3. A seperate COC must be filled out for each day of sample collection. <br /> 4. Sampler should print their name in the space provided and sign their name followed by the date <br /> of the sampling event. <br /> 5. Complete Sample Description as it will appear on the laboratory report; include time of <br /> sampling, sample matrix, no. of containers and container types. <br /> 6. Analyses Requested: Complete analyses on the lines provided and place a check in the column <br /> for the samples requiring the analysis. It may be necessary to use the space provided for <br /> additional comments or include attachments for extended lists of parameters. <br /> 7. Indicate method of shipment used for return of samples and date sent. <br /> 8. Submission of samples to laboratory: Indicate Item Number of those samples being transferred; <br /> sign relinquished by, and include your affiliation. <br /> *IMPORTANT NOTE: <br /> Standard Turnaround Time is 3-4 weeks. If this does not satisfy your requirements, <br /> arrangements must be made prior to samples being submitted to the laboratory. Contact your <br /> project manager. <br /> Special Pro�ect Requirements such as Low Level Detection Limits or level of QC reported <br /> must be indicated on the chain of cust�dy. (Use Additional Comments Section.) <br />
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