Laserfiche WebLink
CHAIN OF CUSTODY RECORD Bill To: <br /> Sherwood $071 N. Lander Avenue <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> abs (209) 667-525$ Attention: Phone: <br /> C O R P O R A T I O N FAX (209) 667-2581 Page of <br /> Job tuber nA P.O.# Project Name <br /> 3 <br /> I tl 4�1 <br /> Sa {5( 'gnat ) Site AddressTYPE <br /> SAMPLE LOCATION DATE TIME NUMBER ((GRAB OR SAMPLE Q 4V Amy <br /> (IDENTIFICATION) (MTH/DAYIYR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX AI '� Q� <br /> REMARKS <br /> Reli ui d B :{Signatur Datell ime��i/ /G� Received By:(Signature) Date/Time TURNAROUND TIME <br /> 7 <br /> Relinquishe (Signr re) Daternme Received By:(Signature) Date/Time <br /> 24 HOUR ❑ <br /> 48 HOUR ElFtelinquished By.(Signature) Date/time Received By:(Signature) Date/Time sj DAY ❑ <br /> C <br /> DICR91BUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler 11 NOTE:Samples are discarded 30 days atter results are reported unless other arrangements are made. <br />