Laserfiche WebLink
ED <br /> A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> 0 <br /> / /� CHAIN OF CUSTODY <br /> Client YK I L � ^"1 e7 ;� Ett 6r,C Phone `j-"G.l� C: S <br /> Address 0 GOX 77EI4 CC to: <br /> 11 zip <br /> Signature of person authorizing work <br /> under terms stated below' <br /> 'Net 30 days. All accounts past due will be subject to interest chargesof 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 No ANALYSIS <br /> '01 t r <br /> of <br /> Con- <br /> SAMPLkD BY: (signature): tain- ^ers 1 • <br /> �,� � REMARKS <br /> sample <br /> type Sample Location <br /> Date Time Como. <br /> 3100 W, IrIA iVZ VI e9f <br /> Relin (5shed by(sitnda)ure): Date ime Received by(signature): Date Time <br /> , �• .r y';a� LTJ � : J t'—t. <br /> Relinquished by(signature): / Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): 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 />