Laserfiche WebLink
*HAIN 01 � I To ----- <br /> 9804000120- DEL-TECH SVC <br /> 151 Shier A Q � <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention i <br /> C O R P O R A T I O N FAX(209) 667-2581 ILA ,�`�_ �• Page_L of <br /> i <br /> Job Number PO 0 PM Name 4as 6n-s <br /> h� <br /> Samplers (Signature) ,^ Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE P <br /> SAMPLE <br /> (IDENTIFICATION) (Iy THA)tY/YR <br /> (HOUR/MIN) COOF (GRAB OR <br /> NTAINERS COMPOSITE) MATRIX ��� ,` <br /> REMARKS <br /> I 3 ,r s S_ g <br /> m W -3 5 <br /> S Sji <br /> Tech <br /> S3a <br /> r7,c <br /> Relinquished By(Signature) Datemme Received By (Signature) DatelTime <br /> !� TURNAROUND TIME 05, <br /> vC ?;:; <br /> Relinquish By(Signature) Datemme Received By (Signature) Datemme 24 HOUR ❑ <br /> r 48 HOUR ❑ <br /> RefaMngul1,hedtr _r,By{Signature} Date/Time Received (Signature) Date/Time <br /> , r <br /> me <br /> 5 DA <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 />