Laserfiche WebLink
44AIN OF CUSTODY RECORD . II To: <br /> . SHERWOOD LABS <br /> P.O. BOX 937 <br /> wood <br /> 8071 N. Lander Avenue <br /> arrerP.O. Box 937 HILMAR, CA 95324 <br /> Labs Hilmar, California,95324 <br /> (209) 667-5258 <br /> C O R P O R A T 1 0 N FAX(209) 667-2581 Attention:VICKI HUB1S Phone: <br /> 209-667-5258 Page—/ of.� <br /> Job Number P.O.# Project Name <br /> V. <br /> Samplers:(Signature) Site Address y <br /> Pv � <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE <br /> (IDENTIFICATION) OF GRAB OR SAMPLE <br /> (MTl-UDAYlYR ) <br /> (HOUR/MIN CONTAINERS COMPOSITE) MATRIX <br /> REMARKS <br /> -- �. 5 3' X 73 If- t)o <br /> Q <br /> i S. <br /> 3 Of �Db7 <br /> PT - @ <br /> DDS <br /> *RelinquBy:(Signature) Date�me Rece ed By:(Signature) Dale/Time <br /> TURNAROUNDTIME <br /> By_ <br /> �nature) D tem a ived {Signature) <br /> �y Datemme 24 HOUR D <br /> elinquished By:(Signature) 48 HOUR ❑ <br /> at ime elved By:(Signature) Daterrime <br /> 5 DAY <br /> Di57RlBUT10N: Original-Accompanies Shipment ' Canary Copy:Sherwood Pink Copy:Sampler <br /> NOTE:Samples are discarded 30 days atter results are reported unless other arrangements are made. <br />