Laserfiche WebLink
J <br /> 4' <br /> A & L WESTERN LABORATORIES, INC. • <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> -AtL0 <br /> CHAIN OF CUSTODY <br /> Client SN,E C�Q�. r�NC Phone <br /> Address �x . CC to: <br /> zip 9S3 0! <br /> Signature of person authorizing work <br /> j under terms stated below" <br /> 30 days. All accounts past due will be subject to interest charge of 1.5°/a per month. <br /> 'Hazardous materials are the property of the client'. The client is-res onsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fere. <br /> PROJECT ID Na ANALYSIS <br /> of <br /> i Con- � <br /> .1 SAM D BY: 4. <br /> tre, tain- <br /> 7 <br /> err ,. (� REMARKS <br /> Sample <br /> typemple Location <br /> Date Time G a4 Camp. I <br /> B ISIS X ET <br /> Reiinq ed by(si ): D to Time R ed by(signature rte Time <br /> Relinquished by:.(signature}: Date Time Received by(signature): te Time <br /> Relinquished by,(signature;: Date Time' Received by(signature): te Time' <br /> Relinquished by(signature): Date Time Received by(signature): Date Time.. <br /> Relinquished by.(slgnature}: 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 />