Laserfiche WebLink
CHAIN OF CUSTODY RECORD Bill To SHERWOOD LABS <br /> PO BOX 937 <br /> Sherwood 8071 N Lander Avenue HILMAR, CA 95324 <br /> PO Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention STEPHANI ROSSOW Phone 209-667-5258 Pae of <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 9 <br /> Job Number PO p Proect Name <br /> S of� <br /> Samplers (Signature) Site ddress CK <br /> i7 <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) OF (GRAB OR MATRIX <br /> CONTAINERS COMPOSITE) REMARKS <br /> i <br /> 00 Z C-1 ra-b wc4e -01xu c ex+ F <br /> - 1 7FA 0t CT P <br /> w - 3� <br /> 4r,5 <br /> Relinquished By (Signature) Dale/Tim Received By (Signature) Dale/Time <br /> Cl - TURNAROUND TIME <br /> Relinquished Hy (Signature) Datef ime Received By (Signature) Datefrime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) Dale/Time ed By (Si�e, Datem5 DAY ❑ <br /> � (r <br /> DISTP4BUTION Or WArcompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrange lare made <br />