Laserfiche WebLink
r <br /> A & L WESTERN LABORATORIES, INC. <br /> AtL1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> e <br /> CHAIN OF CUSTODY <br /> Client__ "�nJ� AQ—T1/V _ Phone <br /> Address_ IQX 1 CC to: <br /> Signature of person authorizing work <br /> under terms stated below* <br /> *Net 30 days. All accounts past due will be subject to interest cha es of 1.5% per month. <br /> *Hazardous materials are the property,of the client. The client is responsible for broper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. " <br /> PROJECT ID No ANALYSIS <br /> VYfDA I P , <br /> con'n' <br /> SAMPLED BY: (si ): tarn- , <br /> N ers •� � REMARKS <br /> sample <br /> type I Sampl Location �l�V <br /> Date Time Grafi.Com9. <br /> SDd X /1',1 f X y- <br /> Reii i hed by( ,Qalp Time c iv d by(signature): Date Time <br /> Relinquished by(signature): Date ..Time. > R ceived.by(signature): Date Time . <br /> Relinquished by(signature): ' Date Time. ..Received by(signature): to <br /> pa Time <br /> Relinquished by(signature): Date Time Receivedfysignature): Date Time <br /> Relinquished"by(signature): Date Time Received by(signature); Date Time. <br /> Site Time: Driving Time: <br /> Start: Finish: `Total Hours: Start: finish: Total Hours: <br /> Dedicated Exclusively to Providing.Quality Analytical Services <br /> 4 <br />