Laserfiche WebLink
MAIN OF CUSTODY RECORD NO ill To: SHERWOOD LABS <br /> P.O. BOX 937 <br /> Sherwood 8071 N. Lander Avenue HIWAR, CA 95324 <br /> [,&IHilmar, <br /> P.O. Box 937 <br /> California 95324 <br /> Labs (209) 667-5258 Attention: Phone: <br /> C O R P O R A T I O N FAX (209) 667-2581 VICKI HUBIS 209-667-5258 Page of <br /> Job Number P.O.# Project Name <br /> FOMEIM Z PROPERTY <br /> Samplers:(Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTHIDAY/YR) (HOUR/MIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX 4�k' REMARKS <br /> 1045 2 grab waters , <br /> 1121 <br /> MW-9 1158 , <br /> MW-7S 1230 w <br /> MW-5 11300 <br /> Mit-1 1338 <br /> MW-1R 1400 ; f <br /> MW-3R 1445 <br /> MW-3 1500 <br /> ! <br /> Relinqu' hed By:(Signature); Dat7eRma J1 Received By:(Signature) Date/Time TURNAROUNDTIME <br /> Relinquished By.(Signature) Date/Time eceived By.(Signature) DateTme 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By:(Signature) Date/Time Reoeived By:(Signature) DateTme DAY ❑- <br /> DISTRIBUTION: Original•Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />