Laserfiche WebLink
CjCHAIN OF CUSTODY RECORD f~ Bill To: <br /> 8071 N. Lander Avenue '�v <br /> Sherwood P-O. Box 937 '/-/0 <br /> /-/ C C <br /> Hilmar, California 953 <br /> LebS 24 <br /> (209) 667-5258 <br /> C O R P O R A T r O N FAX (209) 667-2581 Attention: P <br /> FJobNumlbeEr ProjectName <br /> ure) Site Address ��� �1 O^�� 0 <br /> SAMPLE LOCATION DATETIME NUMBER TYPE A-- <br /> SAMPLE <br /> (IDENTIFICATION) (MTHMAYNR) (HOURIMIN) OF (GRAB OR �4!! <br /> CONTAINERS COMPOSITE) MATRIX �• �� ,`Q ��, <br /> M [(�_ a7 r REMARKS <br /> -crab SOIL- f. ­9Q <br /> a <br /> �Q <br /> -"J <br /> r. <br /> Relinquished$y: Signature) DateTme <br /> Rec - y:(Sign e) <br /> Datefrimo <br /> ZQl'�-(__ S� Z� 9!`rj1q-7 6gC0 - I _4-1-1 <br /> TURNAROUND TIME <br /> Relinquished By:(Signature) Date/Timew <br /> Received By:( net Date/Time 24 HOUR ❑ <br /> Relinquished By:(Signature) DatelTime HOUR ❑ <br /> Received By:(Signature) DateTme <br /> 48 <br /> 5 DAY/ <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler <br /> NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />