Laserfiche WebLink
*HAIN OF CUSTODY RECORD BrIITo SHERWOOD LABS <br /> P O BOX 937 <br /> Sherwood 8071 N Lander Avenue PO Box 937 HILMAR, CA 95324 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Phone 209-667-5258 Page of <br /> C O R P O R A T I O N FAX (209) 667-2581 <br /> Job Number PO # Project Name <br /> Samplers (Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTH/DAY/YR) (HOURIMIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX REMARKS <br /> I � <br /> r <br /> i <br /> r , <br /> Relinquished By (Signature) Datar ime Received By (Signature) Date/Time T!JRNAROUND TIME <br /> i <br /> Relinquished By (Signature) DateRme Received By (Signature) Datefrime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) DateMme Received By (Signature) Date/Tme 5 DAY ❑ <br /> DISTRIBUTION Ongmal-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />