Laserfiche WebLink
A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> AWINWIIl.FIM10fiNEMAI.iHW5i1W <br /> CHAIN OF CUSTODY <br /> Client (t 5N t /ate <br /> Phone <br /> Address �. 1) - o��} <br /> /�/ CC to: <br /> --1vl� �1 04 �✓ I f zip Z <br /> Signature of person authorizing work <br /> under terms stated below' :Y <br /> 'Net 30 days. All accounts past due will be subject to interest charges of 1.5% per month. <br /> 'Hazardous materials are the property of the client. The client is responsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. <br /> PROJECT ID No ANALYSIS I <br /> W r Ni of li <br /> Con- <br /> SAM,ffD BY: nature): rain- <br /> ers t <br /> REMARKS <br /> s mple \ J a <br /> type Sample Location <br /> Date Time Grab Comp. <br /> 7 <br /> WP X 6,2q z /. (ArIzoleue I IX of < »1?t t= . SOL/7 A! <br /> 7,9 3 A ' F/1C <br /> Reliished by(si re): �ate Time Re�eikd by(,si(gnature)s Date Time <br /> Relinquished by(signature): Date Time eceivec by(signature): D to Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />