Laserfiche WebLink
n)A/5((triA//7 <br />Address P- 0 .50Y 37'14 <br />--i -LaLoctz,CA <br />Phone 4710 q --/Ii)/ • /6 5 .2 <br />CC to: <br />Client <br />Zip 6/5-30 2" <br />A & L WESTERN LABORATORIES, INC. <br />1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br />CHAIN OF CUSTODY <br />Signature of person authorizing work <br />under terms stated below• 7414q.-14-7 <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 No. <br />I eeivo,1 71 A fo p of <br />con_ <br />tain- <br />ers <br />ANALYSIS <br />U <br />(4' <br />\)- REMARKS k <br /># <br />c(j <br />SAMPED BY: c"nature): <br />sample <br />tyPe Sample Location Date Time Grab Comb. <br />5u v 2,, F I, 1.- 1 =7-424/fii_PAAt..7:,..=, AO ArE,A <br />f AY; <br />Relinpilhed byi si ture): c _gr"))1. <br />/A1161A ti,e..a4"(_ <br />Date <br />it/ <br />. 1/1 <br />Time <br />17 ;3' '' <br />Re eived by (signature): <br />//,19"1,4-ep41-4,_ (1-;21- /-,, -1,c-? (70k — <br />Date <br />./ obt/ i.:i <br />Time <br />/ ,1 • , - <br />RAinquished by (signature): Date Time Received by (signature): Date Time <br />Relinquished by (signature): Date Time Received by (signature): Date Time <br />Relinquished by (signature): Date Time Received by (signature): Date Time <br />Relinquished by (signature): Date Time Received by (signature): Date 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