Download - CHAIN OF CUSTODY RECORD - Biologica
DATE SHIPPED: ________________________ PAGE ____ of ____ DATE RECEIVED: ________________________
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Earlier (please contact Biologica)
OFFICE USE ONLY
Quote Number:
BENTHOS ONLYMesh Size: _______________________
**FILL OUT ONE PAGE PER SAMPLE TYPE**
Sampling Device: __________________
**TAT may vary depending on no. of samples**
Special Instructions (protocol, etc.):
Preservative:
Collected by:
Phone:Email:Email:
(if applicable)
Invoicing Contact:Phone:
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CHAIN OF CUSTODY RECORD
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CONTACT INFORMATION
MAIN CONTACT:
PHONE:
EMAIL:
CLIENT NAME:PROJECT NAME:
PROJECT NUMBER:
Data Contact #2:
Please provide a second contact for data & report delivery and indicate invoice destination.
SAMPLE ID REPLICATE SAMPLING DATE NO. JARS COMMENTS #
PROJECT INFORMATIONHabitat Type
Freshwater Marine Estuarine
Biologica Environmental Services Ltd. 488-F Bay Street Victoria, BC V8T 5H2 P: (250) 479-3868 F: (250) 477-3855 [email protected]
Turn Around Time Standard (90 days from sample arrival)
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Sample Type Benthos Periphyton Zooplankton Phytoplankton Other: ______________________
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