Laserfiche WebLink
*CHAIN OF CUSTODY RECORD 5'Ta SHERWOOD Lass � <br /> P.O.BOX 937 <br /> 8071 N. Lander Avenue <br /> n <br /> Sherw4wdRO. Bax 937 HH-MM, CA 95324 <br /> Hilmar,CaldomRa 95324 <br /> Labs (209) 667-5258D <br /> C 0 F? P 0 A A T l O N PAX(209) 667-2581 Awn.VICKI HEIBIS p'F? Page of ¢ <br /> Lc <br /> Jab Number P.O.d Projei Name <br /> San'p6 m(S watum) Bite Address <br /> SAMPLE LOCATION DATE TIME NUMBER �TYPEFLAS SAMPLE <br /> (IDENTIFICATION) (MT UAYrYR) (HOURMIN) OONTAlNEAS COMPOSITE) MATRIX �� \ �/ REMARKS <br /> Mw-1 12-17-3 1532 ✓ ✓ <br /> MW-2 1511 / x <br /> 4945 o <br /> NW-5 1242 <br /> MW-6 1037 <br /> MW-7S 1201 ✓ / A <br /> Mw-as 1400 <br /> MW-$D1439 ✓ Fro <br /> 14W-9 122 ✓ ✓ 1.0 <br /> fo <br /> m <br /> W <br /> i Reinqu' By: S!WQNMa�1s n1�atNT/mYe�Q3/Q iJ FWcaved Br(Sgenaalu�ie) <br /> /vidRNA I <br /> Reloaquhed ey (Srgnatum) ]ae/Tme 24 HOUR t] <br /> 3 <br /> rl <br /> JZ i *j.6 a nHOL-3 <br /> By:[Signature) t]aleRme R6,oNmd gy:(si flatelrme <br /> 01STRI&MON: Original-Accompanies Shipment Canary Copy:Shwwocd Pink Copy:Samp3er NOTE Samples are discarded 30 days d*T re.Br:lts are reported unless other amangemnts are made. <br /> e <br />