Laserfiche WebLink
CHAIN OF CUSTODY RECORD Bill To <br /> 8071 N Lander Avenue <br /> Sherwood P Q Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 <br /> Attention <br /> C O R P O R A T I O N FAX(209) 667-2581 Phone Pa e <br /> >�. r) _s—- p 9 of <br /> Jab Number PO # Protect Name <br /> /Ztt>tle-il 0.. k <br /> Samplers (Signature' <br /> Site Address Z 3 5-L <br /> 53, <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE A- <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) GONTOF:is C(GRAB OR MATRIX ' '�� Q� <br /> REMARKS <br /> � � • 6 . � z� f-T 3-11 (t. ; � So\L, E.rz <br /> qtr a� z• It OltC-onqerscLiCry) tu( <br /> 0LlY�0.tn -- <br /> R4 -. tVO4' T1 i�O,M� 1 Sei <br /> Relinquished By (Signature) Date/Time Received By (Signature) <br /> Datefrime <br /> o3,�i TURNAROUND TIME <br /> PAA <br /> Relinquished By Signature} D �23-9S 3:;2? <br /> aterrima Received By (Signature) <br /> Date/Time 24 HOUR ❑ <br /> Relinquished By (Signature) 48 HOUR L1tDaReceivedma Received By (Signature) Date�me <br /> 5 DAY <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 />