Laserfiche WebLink
r r r r r r r I r r r r r i r r c t <br /> CHAIN OF CUSTODY RECORD x ""'TO: SHERWOOD LABS <br /> P.O. BOX 937 <br /> .S�Ierwo®d 8071 N. Lander Avenue P.O. Box 937 HILMAR, CA 95324 <br /> Hilmar, California 95324 <br /> Lab (209) 667-5258 Attention: Phone: i <br /> C O R P O R A T I O N FAX (209) 667-2581 VICKI HUBIS 209-667-5258 Page of E <br /> Job Number P.O.# Project Name <br /> .13 T1 CITY OF <br /> Samplers:(Signature) Site Address <br /> Qv .' <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> OF (GRAB OR <br /> (IDENTIFICATION) (MTH/DAYlYR) (HOURIMIN) CONTAINERS COMPOSITE) MATRIX REMARKS <br /> Relinquished By:(Signature) Date/Tme Received By:(Signature) Date/ Time TURNAROUND TIME <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) DateTme 24 HOUR ❑ <br /> 48 HOUR-0 <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) Date/Time j <br /> �5 DAY, ]" . <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 />