Laserfiche WebLink
0 0 �A(�CMND4 A <br /> CHAIN OF CUSTODY RECORD Bill To 60 01 (-L <br /> I 9 SZ2. '- <br /> 8071 N Lander Avenue �b1 <br /> 11cl <br /> Sherwood PO Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone Pae of <br /> CORPORATION FAX(209) 667-2581 9 <br /> Job Number PO # Protect Name <br /> S n ers (Sign ure Site Address _ <br /> 1 Zz 1 h ~ <br /> I.CJr �.SO ti3 11 S IdC <br /> ro <br /> SAMPLE L CATION DATE TIME NUMBER TYPE SAMPLE P�} .� <br /> (IDENTIFICATION) (MTNIDAYNR) (HOUR/MIN) OF (GRAB IT MATRIX ) <br /> '' !! ��� /6/7? <br /> CONTAINERS COMPOSITE) /� REMARKS <br /> ID, <br /> j -3� I eS r ! <br /> l0 Z 20 I / X <br /> UJ I X X <br /> L--� oJ zo ' I <br /> U (il ar <br /> C4� D ' <br /> C4 -� <br /> � Lo �L, <br /> Relrnq a (Si nature) Datem a Re d By (Signature) Date/Time <br /> TURNAROUND TIME <br /> Relinquished <br /> �By Sig lure) ate rme ecerved 9y (Signature) Datefilm 24 HOUR L)0• g1g111 S���P� 4 [�S q' qq 48 HOUR ❑ <br /> FIrnqurshed By (Signature) Date/rime Received By (Signature) Date/Time <br /> 5 DAY D-- <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />