Laserfiche WebLink
lt- ILC <br /> C041N OF CUSTODY RECORD `IjT� r - ` <br /> Sherwood 8071 N Lander Avenue c4 If-3-3 S-4 s ti z <br /> ,[ P O Box 937 <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attentionf� �1 Pho s <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 L G V.h] C I U Gr ( Page –?—of Z <br /> I <br /> Job Namber PO # Project Name <br /> A fl'AJ9 Gv, <br /> Samplers (Signature) 1 1 <br /> Site ddress .�� <br /> 37 -� '0�- 200N G4 <br /> SAMPLE NO <br /> DATE TIME SAMPLE SAMPLE INFORMATION OF P REMARKS <br /> NUMBER TYPE CNTRS <br /> 1Q r <br /> t <br /> -3 tzsa <br /> S23 - 3 I <br /> 21- - LPIs }3 <br /> S -L4 13�a <br /> la --Z <br /> S21 <br /> r <br /> 52B -- L, 1358 <br /> Cr — H lyoS <br /> z -- N10 1r <br /> Rely h (Si r DaOMPne Received By (Signature) DateTme Ship Via <br /> Relinquished By (Signature) DateTme Received By (Signature) DateTme <br /> TURNAROUND TIME <br /> RettngULsned By (Signature) Datefrtme etved By Laboratory to ❑24-HR ❑46-HR *5-0AY ❑ 10-DAY <br /> DISTRIBUTION Ongmal Accompanies Shipment Canary Copy Sherwood Pink-Samplir NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />