Chain Of Custody Form - Cornerstone Analytical Laboratories

Cornerstone Analytical Laboratories

502 E. Lamar Alexander Pkwy, Maryville, TN 37804

1-888-313-1973 (Toll Free), 865-207-2264 (in TN)

Email:

Chain of Custody Form

Report to name

Company Name

Address

Phone

PO#

Turnaround Time:

Is this sample hazardous? If yes, please

(Internal Use)

□

provide SDS if available.

Routine (5 days)

□

Expedited (2 days)

Sample Number

Sample Description

Analysis Requested

Storage Requirements

Additional Comments or special instructions:_______________________________________________________________________

Submitted By: _______________________________

Accepted By: _______________________________

Signature and Date

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conditions. Thank you for the submission.

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Parent category: Legal