Laserfiche WebLink
F" gar <br /> CHAIN OF CUSTODY RECORD, Bill To ea s e <br /> 1 <br /> 8071 N Lander Avenue <br /> Sherwood PO Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention . P � Q2 9 --� <br /> C O R P O R A T I O N FAX(209) 667-2581 Pae of <br /> Job Number PO # Protect Name �~ <br /> aG7- ;No <br /> Samplers (Signature) i ` Site Address <br /> } s O <br /> SAMPLE LOCATIONUMBER TYPE Cy <br /> JV DATE TIME o� (GRAB OR � <br /> SAMPLE �, �� Q� <br /> (IDENTIFlC�T4N) (MTH/DAYNR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX to �� �Q ,tom REMARKS <br /> ' 0 x <br /> - <br /> - 95- <br /> Relinquished <br /> Relinquished By (Signature) Date/Time Received By (Signature) Date/Time TURNAROUND TIME <br /> Relinquished By (Signature) Date/Time Received By (Signature) or Dateime 24 HOUR <br /> 1:1 <br /> o3 a9 Q 3 a 9 48 HOUR ❑ <br /> ime <br /> Rei shedBy (Signature) DateTime dBy (Signature) 5 DAY . <br /> z, <br /> STRIBUTION ongrnal-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />