Laserfiche WebLink
A <br /> A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> nGEKUlN4l.FEmEOru,EErtr. rai., <br /> CHAIN OF CUSTODY <br /> !i i 10'7 �'6- <br /> Client-1 Phone - <br /> Address f7 �t"%k �?�r�Y' CC to: <br /> 0 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 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 f No ANALYSIS <br /> of <br /> Con- <,j <br /> SAMPLED BY: ature): tain- <br /> ers <br /> R ;y; REMARKS <br /> 'sample ' v <br /> iype f ti <br /> Date Time Sample Location , <br /> Grab Comp. <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Rehlih uishe y(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 /> 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 />