Laserfiche WebLink
'URIVERSAL %owl <br /> ENGINEERING <br /> INCORPORATED <br /> SAMPLE CHAIN OF CUSTODY / WORK ORDER U <br /> Client's Name Phone <br /> Address 12 1,W 4. d r <br /> City, State, Zip <br /> Client's or Representative's Signature <br /> (signature authorizes the work and terms listed be") <br /> 'Terms: Payment is due within 30 days of invoice. A service charge of 1.5%will be added to overdue accounts <br /> "All samples remain the property of the client who is responsible for disposal.A disposal fee may be imposed if client fails to pick <br /> up samples. <br /> 4Z <br /> PROJ NO PROJECT'NAME <br /> SAMPt =S.r ti�lu.nruul�� NO. <br /> FA01- <br /> AL, <br /> CON- HEMAHKS <br /> S'I A NO OA E TIMEIL <br /> am STATION LOCATION TAINERS <br /> O � <br /> 7Sa.- r-C <br /> (v - f \[ l\ <br /> � I l• 1 —f ; <br /> (. r I� t <br /> Relinquished by.fSrgnalure) Date Time Receivedby:(Srgnafure) DRIIING TIME, <br /> �. / SIAll T " ♦•ItJISLI TOTXrM ' <br /> >D. <br /> etmq wished by fSrgnerure) Oa1te Time Hecerved by.[S,gnalure) SITE-TIME. <br /> jell' S Qi (f.l,yi.'C.—\,.. O'I r' START. FINISH TOTAL ) <br /> t:hny,ushiJ by.fSrynaf ur ul Oats Tine IIVLVI ud by (signature) WIAL IIMI1 FLESrI4OUF1/MILE <br /> ti <br /> MILEAGE_. <br /> P.O. Box 5853 0 Concord, California 94524 0 (707)746-6699/FAX(707)746-6815 <br />