Laserfiche WebLink
A 6 L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529.4080 <br /> CHAIN OF CUSTODY <br /> Client lr�EJ �� Coly/ - (LrlAle(7 Phone e/&��?' /4O ? <br /> Address P. d K 3 7 •-/--� <br /> CC to: <br /> -TVRI Oct,- KA Zip 953e'/ <br /> Signature of person authorizing work <br /> under terms stated below' ��IILL.fS'l,.Li �!f <br /> 'Net 30 days. All accounts past due will be subject to interest cha ges 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 ANALYSIS <br /> WOOD,f2I DC F Of <br /> Con. <br /> SAMPL BY: (Si JVre): tain <br /> ZJ6h ers ��r�V) REMARKS <br /> camp e <br /> ryva Sample Location p <br /> Date Time one c P� �1 <br /> 513c) 7-00 K S F 7- <br /> 1 x x <br /> s�3� zlo Z' x x <br /> = 123o C r / X X <br /> o lis x F7 / X u <br /> 5130 1310 1Y 1 ,7S f 7 x <br /> s 3 x 3v F 7- <br /> X x <br /> o '4s v 35 T l X X <br /> Relin r hed by(sig u ): Da a Time Received by(signature): Date Time <br /> / r 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 />