Laserfiche WebLink
LABORATORIES <br />A & L WESTERN LABORATORIES, INC. <br />1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br />CHAIN OF CUSTODY <br />Client (tr ? ±% S�� F Y (�J/-V" Phone <br />.�y� �' �� <br />Address CC to: <br />+ / <br />Zip L c' ✓/ <br />Signature of person authorizing work <br />under terms stated below' <br />'Net 30 days. All accounts past due will be subject to interest charges of 1.5% per month. <br />'Hazardous materials are the property of the client. The client is responsible for proper disposal of hazardous wastes. Clients not <br />picking up hazardous wastes may be assessed an appropriate fee. <br />PROJECT ID <br />' <br />o. ANALYSIS <br />rf <br />Con - <br />fain- <br />ers +?� <br />�� <br />REMARKS <br />SAM BY: BY: s' ure): <br />sample <br />type Sample Location <br />Date Time iGrab Comp. <br />%L cLl� a� <br />41 <br />Re)i quished b nature): <br />Dpte <br />Time <br />Recgiv' d y (sig at. re); ;, <br />Date <br />Time , <br />Relinquished tYy (signature): <br />Date <br />Time <br />Received by (sig64ture): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start: Finish: Total Hours: <br />Driving Time: <br />Start: Finish: Total Hours: <br />Dedicated Exclusively to Providing Quality Analytical Services <br />