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CHAINOFCUSTODY AND ANALYSIS REQUEST 101 East Maryland, Hobbs, NM 88240 (575) 3932326 FAX (575) 3932476BILL Company Name: Project Manager:P.O. #:Address:Company:City:State:Zip:Attn:Phone #:Fax #:Address:Project
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How to fill out chain-of-custody and analysis request

01
At the top of the form, fill out your personal information including your name, contact information, and any other relevant identification details.
02
List the date and time that the sample was collected, as well as the location where it was collected from.
03
Describe the sample in detail, including its type, quantity, and any unique identifiers such as a barcode or specimen number.
04
Specify the reason for the analysis request and any specific tests that need to be conducted on the sample.
05
Sign and date the form to certify that the information provided is accurate and that the chain of custody has been maintained throughout the process.

Who needs chain-of-custody and analysis request?

01
Chain-of-custody and analysis request forms are typically needed by individuals or organizations involved in collecting, transporting, storing, or analyzing samples for forensic, medical, environmental, or research purposes.
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Chain-of-custody is a document that tracks the handling of a sample from the time of collection to the time of analysis request. Analysis request is a formal request to conduct analysis on the sample.
Anyone submitting a sample for analysis is required to file a chain-of-custody and analysis request.
Chain-of-custody and analysis request forms can typically be filled out by providing details about the sample, including when and where it was collected, and any specific analysis requests.
The purpose of chain-of-custody and analysis request is to ensure the integrity and traceability of a sample throughout the analysis process.
Information such as sample identification, collection date and time, collector information, storage conditions, and any specific analysis requests must be reported on the chain-of-custody and analysis request.
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