Laserfiche WebLink
A & L WESTERN LABORATORIES, INC, <br /> 1 <br /> 1311 Woodland Ave. #1 + Modesto, California 95351 • Phone 209-529,4080 <br /> CHAIN OF CUSTODY <br /> Client �� L �(/nl�u L7l ( Phone 3 <br /> Address p � 7 � CC to: <br /> � t� rz � or zip ! <br /> Signature of person authorizing work <br /> under terms stated below' <br /> 'Net 30 days. All accounts past-due will be subject to interest char s 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 IDS [ Na ANALYSIS <br /> I/� J L VA Con- l(i <br /> SAMPLE Y: (sign u ): vers <br /> REMARKS <br /> sample r� <br /> V �J <br /> IyDa Sample Location <br /> Date Time Grab Cana. p �}r <br /> �lr 75. SC /rPEGLU7A. <br /> I <br /> Reli qu shed by,(ib nature): Date Time R`ceive/d'by(Sig ature): 'ate Time <br /> ��� ,•� /J/SIJ7 1<f�U i � 1�`_ �l`�-- !"�:_�'� !r7 lam.) �`�� <br /> Relinquishe y(signature): Date Time Re�eived by(signature): Date Time <br /> I 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 /> I <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />