Laserfiche WebLink
? _ e <br /> iv <br /> MUM <br /> f <br /> UNIVERSAL <br /> ENC,INEERING <br /> INCORPORA`t'ED______ <br /> SAMPLE CHAIN OF CUSTODY /WORK ORDER � 1 <br /> Client's Nafne Crl.A17 j fu\l l��—�� ._..^__,._.. Fhone r 1 r��•��' J'�`�• <br /> Address _ — :` vllC� r2 Z7 <br /> 'SZ `c•; 1 <br /> City State.Zip ` t S.i.� �.1-.+ 0h.% ---•--- <br /> client's or Represent alives Signature <br /> {signature authoriz•s Inc work and terms listed beiowj <br /> 'Terms: Payment is due within 30 days of invoice,A service charge of 1.5%will be added In overdue accounts. <br /> "All samples remain the properly of the client who is responsible for disposal.A disposal fee may be imposed it client falls to pick <br /> up 5,srnples. <br /> PLIUJ NO mWILCf NAME (� <br /> •:Aµl�1f`��ul NO � rJ <br /> � 4' <br /> 1 IILMAIMU <br /> Q+VL1;' lit r`� con. <br /> SIA P40DATE 71M m SIAIIDN LOCA110N iAINE AS - <br /> t�, <br /> D a <br /> U � <br /> AL <br /> zi 1�► 3�'' S c�. <br /> f <br /> { <br /> 1 <br /> Dale Tune R.--db IJt+ 1 <br /> 11t1.n4u'fh1•d OY f5.lnalurrl 9na vr�/ I OnIY714G TIME <br /> 1 . n !r I 1 1 J. V' �j�• L' �' ` "y, MAIII 11111'.1 101AI. <br /> - _�.--M•d.xlv�—!Y_I�yI.Irr.l vl- - - _-Elate T.—j"ca by I�pnalv.e SITE iIHE - <br /> w S1AnT IINISH TGIAL - - <br /> -1.Intq.ual x•d ly r5.yi.,111N u1 I1AIr run„ I1--d l•Y Isq—tw PI KilAL Neto I L L,'11pUH,MILL <br /> 1.17LEAGr. - <br /> P.O.Box 5853 • Concord,California 94524 + (707)746.6699/FAX{7071746-6815 <br />