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UNIVERSAL <br /> ENGINEERING <br /> INCORPORATED <br /> SAMPLE CHAIN OF CUSTODY!WORK ORDER <br /> Client's dame f� -- rncne �� <br /> Address :�•.�tr.t 'YS i' c7 - •r' ;.i.� l - <br /> City,State,Zip - <br /> f 1 <br /> Ciient's or Representative's Signature -- <br /> (signature authorizes the work and terms listed <br /> 'Terms: Payment is due within 30 days of invoice. A service charge of 1.5°b will ee aCCed to overdue accounts. <br /> -All samples remain the property of tea client vrno is responsible for disposal.A disposal fee may be imposed if client fails to <br /> up samples. <br /> S t A rto GATE TWE .. ArtCv LOCATICa - <br /> U <br /> U <br /> 1+ <br /> n.•Lnywsne�:y i Sgn,rlui u! Cat, T.lec RrA naa cr S d',a.., [:.:IVIrr;TIME <br /> �q.n.l�+�l'eil L's.V,f l,lfnf,.'1_-.-- t)+Ir. -r,p:.• fie�,ri rtV�r -i q•i�rt•r Sit E TIME <br /> - - - STAHT F041i-, TOTAL - <br /> rulAL I-1,1L LL i, J-i?JILt <br /> PO Box 6853 • Concord.California 9-524 • (707)746-6699/FAX 17071 746.681 b <br /> _ �j <br /> 1 OTION 01 THIS <br /> t .. BE 3i <br /> DOaMU CSI <br /> DUE To THE <br /> CONDITION Or W.GINL J . <br />