Laserfiche WebLink
A & L WESTERN LABORATORIES, INC. <br /> AtL 1 311 Woodland Ave. #1 • Modesto, Califomfa 95351 • Phone 209-529,0SQ <br /> o <br /> CHAIN OF CUSTODY 2 S b 7 Y <br /> - r <br /> � �s,�Qf Ole: � <br /> Client Phone ���� OS3 I i <br /> Address r <br /> CC to: Mrt if�.ip��1LhL <br /> °Q o CA zip S.3Sp 1489 M <br /> Signature of person authorizing'work <br /> under terms stated below' -7 <br /> Net 30 days. All accounts past due will be subject to interest charges of 1.5% per month. <br /> 'Hazardous materials are the property of the client. The client is responsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. <br /> ;. PROJECT ID ,�1� ANALYSIS V C17� N <br /> of <br /> Con- <br /> SAMPLED BY: i nat twin. <br /> ers <br /> REMARKS <br /> sample �\ <br /> type Samp)e Location <br /> Date Time G ao coma <br /> -- <br /> � r IX , <br /> Re' ished by{sig to e): Date T' <br /> alb signature Da Dat Time <br /> i <br /> i <br /> Rel <br /> shed b (signature): Qate Time : Re by(signature): Date Time <br /> It <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> ) <br /> Relinquished by(signature): Date Time Received by(signature): Date iI Time <br /> Relinquished by(signature): Date Time Received by(signature): ±Hours: <br /> Time 1 <br /> ESite Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: T <br /> Dedicated Exclusively to Providing Quality Y Services <br /> Analytical ! <br /> es IVB-4 <br />