Laserfiche WebLink
t, � � � I• � � <br /> AIN OF 'CUSTODY RECORD BrllTo } <br /> Sherwood $071 N Lander Avenue �7 <br /> �1 PO Box 937 ( � �J <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attend P <br /> C O R P O R A T I O N FAX (209) 667-2581 Page_Z_of <br /> `y <br /> Job Number PO k Project Name <br /> Samplers (Signature) Site Address <br /> f74'7 (f, �ha -�r <br /> SAMPLE-LQCATION DATE ,'TIME NUMBER TYPE SAMPLE �A- <br /> (]DENT -A 61JJ) (MTWDAY/YR) (IiOURlMIN) OF (GRAB OR <br /> CONTAINERS NERS COMPOST E) MATRIX CO � �Q�,`� <br /> REMARKS <br /> 1 <br /> �� _ a r ra la m 'I P mE rPL <br /> m - <br /> _ (c) <br /> C 0 <br /> rnw - <br /> Relinquished By (Signature) Date/Time Recall ed By (Signature) Date/Time <br /> 9 A,K A� TURNAROUND TIME <br /> Ica 7 J''3 ,M <br /> Reih?/By (Signature) Dale/Timeecerved (Sig9natuTimLlre) Date/Time 24 HOUR <br /> a-z 142-74q-7 I1 tig,--45 HOUR ❑ <br /> elinquished By (Signature) D tetrime Received By (Signature) Daterrime 5 DAW <br /> DISTRIBUTION Onginal Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />