Laserfiche WebLink
OHAIN OF CUSTODY RECORD B�IITo <br /> P01Box g3 der AvenueSherwood <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 Page of <br /> Joh Number PO # Project Name <br /> Samplers (Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTH/DAYNR) (HOURIMIN) OF (GRAB OR <br /> CONTAtNERS COMPOSITE) MATRIX `� Z` Q <br /> �Q �� REMARKS <br /> I I <br /> I <br /> ReImpshed By (Signature) Date/Ttme Received By (Signature) Date/Time TURNAROUND TIME <br /> Relinquished By (Signature) Date/Time Received By (Signature) Date/Time 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) Date/Time Received By (Signature) Datef ime 5 DAY ❑ <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samptes are discarded 30 days after results are reported unless other arrangements are made <br />