Laserfiche WebLink
A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> CHAIN OF CUSTODY <br /> Client �GNr�Gr(�Ti�v�z__ Phone <br /> Address �` P� F Z/ - - CC to: <br /> I /A zip � r <br /> Signature of person authorizing work <br /> under terms stated below' A� 9,424ra,49 <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 IDA / , n No ANALYSIS of <br /> /OI (moi SCF- Con- <br /> SAMPLED (sign ): tain- v✓ �\ <br /> ers REMARKS <br /> sample <br /> type Sample Location <br /> Date Time crap tomo. <br /> l� <br /> 17 3 o Xr,. e -,r <br /> • o <br /> 7 31 x "7116 LQW AVE . <br /> Rin hed by( re): gate T e a <br /> me R4ye by(signature): Dae Time <br /> �b 0' - ��v� '7 ��' ) , <br /> Relinquished by(signature): ate Time Re,,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(signature): Date Time <br /> Site Time: Driving Time: <br /> Stats: Finish: Total Hours: Start: Finish: Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />