Laserfiche WebLink
r m .r I� r ■■r rr <br /> trAINMOF cusTooY R�coRo Bill To SHERWOOCLABS <br /> PO BOX 937 <br /> Sherwood 8071 N Lander Avenue HILMAR, CA 95324 <br /> P O Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Phone 209-867-5258 Page of <br /> O R P O R A T I O N FAX (209) 667-2581 <br /> Job Number PO # Protect Name 0, .1� <br /> Samplers {Signature:} Site Address �� C) <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (lQENTIF CATION) (MTHI©AYIYR) (HO<jRlIVfIN) OF (GRAB OR CONTAINERS COMPOSITE) MATRIX REMARKS <br /> 1 v JbDC� Qt la�a� � <br /> Relingws d By (Sicrature} Cat��m Recewed B Dateme rw p <br /> TURNAROUND TIME <br /> ,( //-/5-00 <br /> Relinquished By (Serrature) DateMme Received By (Signature Daterriime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) DatesTime Received By (Signature) Daterrime <br /> DISTRIBUTION Onainaf Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reporta made <br />