Laserfiche WebLink
I' rown <br /> AIN OF CUSTODY RECORD <br /> Bill To s�lERw000 LABS <br /> P O BOX 937 <br /> 00 <br /> Sherwood 8071 N Lander Avenue HILMAR, CA 95324 <br /> P O Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI RUBIS Phone 209-667-5258 Page Of <br /> CORPORATION PAX (209) 667-2581 <br /> Job Number PO ft Project Name <br /> 7 � `Gj LLQ <br /> Samplers (Signature) Sste Address �� y <br /> Qv i t <br /> SAMPLE LOCATION DATE TIME NUMoBER (GRAB E SAMPLE <br /> (IDENTIFICATION) (MTHlDAYlYR) (H0IJR/MiN) CONTAINERS COMPOSITE) MATRIX REMARKS <br /> J LJ <br /> -,2 <br /> Relinquished By (Signature) // DatelTme Received By (Signature) DateiTime TURNAROUND TIME <br /> Relin[tGished By (signature) ,J DaterTme Received By (Signature) DateRme 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) DateTme Received By (Signature) �DateMrne 5 DAYA <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />