Laserfiche WebLink
0 <br /> { ACCLILAB <br /> 3700 Lakeville Hlghwa+ Petaluma CA 94952 <br /> o so=809024 Petaluma CA 949738024 <br /> .lephone (707)7838245 FAX (70717634055 SAMPLE CHAIN OF CUSTODY 1 WORK ORDER <br /> Client's Name D0 Phone (('� �� r <br /> Address peo <br /> City,State,Zip 54[u'4 0 11 C <br /> Client's or Representative's Signature <br /> (signature authorizes the work and terms listed below) <br /> All samples remain the property of the client who is responsible for disposal A disposal fee may be Imposed if client fall, <br /> to pick up samples <br /> PROJ NO PROJECT NAME <br /> iv REMARKS <br /> SAMPLER ( grratrure) NO <br /> Z.� �c✓(_�v,5 LoLiew,3atA OF LAB <br /> CON- USE ONLY <br /> STA NO OATS '-IME a m sTATiON LOCATION TAINERS LAB NO <br /> � a <br /> C7 <br /> { `t0 A/A r d' Cate. <br /> Relinqulsq 7 <br /> by lsignerwa) "DATE TIME R (50,&U-) Geheral Rte^ <br /> Refs bid Si�ylrarjll DATE TIME Received by Slgn�ture) I+LS Y` 2-9 +"r-,-> <br /> �T 1` Ll 1 r�l-As - <br />' Relra�ulsAadhy{3Jgne) DATE TIME Received by(Signature) <br /> LAE=PY <br />