Laserfiche WebLink
Illliiiiimi � M M M M M M M M M <br /> &AIN OF CUSTODY RECORD Bili To <br /> �t Sherwood P 01 oN Lan <br /> x 937er Avenue <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C o R P o R A T r o N FAX (209) 667-2581 C1 o 7TPage —L of <br /> Jab NumberPO # Protect Name <br /> T <br /> Samplers (Signature) <br /> P Site Address <br /> SAMPLE SAMPLE NOP <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF REMARKS <br /> CNTRS <br /> 71 <br /> _e <br /> i <br /> Relinquished By (Signature) 1 Date/Tim Received By (Sign lure) ,,` DateRme Ship Via <br /> 11 <br /> Relmquish By (Signature) Dalefrime ceived By ( rgnature) Date/Time <br /> TURNAROUND TIME <br /> Aehnyuished By (Signalure) Date/Tame Received By Laboratory Datef ime <br /> Cl24 HR ❑48 HR DAY ❑ 10-DAY <br /> DISTRIBUTION OngmalAccompanies Shipment Canary Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />