Laserfiche WebLink
A & L WESTERN -LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Mode9to, California 95351 Phone 209-529-•4080 <br /> CHAIN OF CUSTODY <br /> Client I A C A ' 1' Iv Phone <br /> t Address f:8� a IsV' 2--�79 . CC to: <br /> I GU 4,C. A zip <br /> 7' <br /> Signature of person authorizing work <br /> under terms stated below' <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 maybe assessed an appropriate fee, <br /> PROJECT LD . :... ANALYSIS . <br /> Con- <br /> SAMPLE BY: (si ure): lain- <br /> ers REMARKS <br /> . sample <br /> Hype Sample Location <br /> Date Time Grab Comp. <br /> C erSrtrfl l <br /> C <br /> /fop C1�1 2 <br /> F <br /> Relin s ed by(s' re): D to Time Re ed by,(signature): Qat Time <br /> Relinquished by(signature):X Date Time R eived 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 /> Relinquished by(signature): :: Date Time Received by(sighature) Date Time <br /> •, , <br /> 8it2 Time: Driving Time: �} <br /> ;Start: Finish: Total Hours: Start: Finish: TotadHours: <br /> i <br /> Dedicated Exclusively`to Providing Quality Analytical Services ;- �, <br />