7/24/2019 CG MSL Letter of Request
1/1
C
OMMANDING OFFICER
UNIT NAME
ADDRESSADDRESSPHONE #FAX#
16481DATE
MEMORANDUM
From: TITLE/NAME/(SIGNATURE)
To: USCG Marine Safety Laboratory CG MSL!
S"b#: $E%UEST F&$ &IL S'ILL SAM'LE ANAL(SIS AND
ST&$AGE
1) Tota* n"mber of +am,*e+: -----
.) Ty,e of Seri0e:
$EGULA$ $e+"*t+ aai*ab*e in 23 b"+ine++ 5ay+!
'$I&$IT( E,e5ite5 ana*y+i+7 re+"*t+ aai*ab*e in 13. b"+ine++
5ay+!
$US $e+"*t+ aai*ab*e ASA') *Contact MSL directly for special
arrangements!
2) Ty,e of Ine+ti9ation:
CIIL C$IMINAL
4) Ty,e of Ana*y+i+ U+e *ine 8 for more +,e0ifi0
in+tr"0tion+!:
Com,ari+on of +am,*e+
Com,ari+on of +am,*e+ to ,reio"+*y r"n CG MSL 0a+e
n"mber:-----3-------)
ID &n*y: 'roi5e ;fin9er,rint< 0=ara0teri+ti0+ of ea0=
+am,*e >it=o"t 0om,arin9)
're, &n*y: 're,are +am,*e+ an5 +tore/,re+ere for ,otentia*
f"t"re ana*y+i+)
) MISLEIncident InvestigationA0tiity n"mber:
-----------------
6) Fe5era* 'ro#e0t N"mber F'N! if a,,*i0ab*e:
--------------------
?) Unit 'oint of Conta0t:
-------------------------------------------------
'=one:-----!------3--------/E3mai*:--------------------------------------
8) A55itiona* +am,*e information o,tiona*!:
----------------------------------------
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@
En0*o+"re: C=ain of C"+to5y $e0or5
