Laserfiche WebLink
iAIN OF CUSTODY RECORD Bill To: <br /> S17erw00d 8071 N. Lander Avenue A �� <br /> 11 P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention P <br /> CORPORA TI ON FAX (209) 667-2581 Pa c.k X1029 3 Page�_ of <br /> Job Number P.O.# Project Name <br /> "0 / <br /> Samplers:(SignaturetSite Address �� 01 ,\h <br /> � �An 5 O 1✓. Qoor" <br /> NUMBER TYPE A-' <br /> o�o�a 00 <br /> y <br /> SAMPLE LOCATION DATE TIME SAMPLE �,� <br /> (IDENTIFICATION) (MTH/DAYNR) (HOURIMIN) OF (GRAB OR MATRIX � �� Q� <br /> CONTAINERS COMPOSITE) �' tl` REMARKS <br /> S WA T� <br /> 5 aAJE x <br /> S —I C) ' , i 2t7o <br /> 5 - o -/ lQ 1300If <br /> S - 1A t it / <br /> l00-' Z ' I 30 // / / <br /> I k 1( / ff <br /> 'r6 60 i /f / <br /> Relinquished By:(Signature) DateTme Received y:(Signature) Date/Time � <br /> TURNAROUND TIME <br /> Relinquished y:(Signature) DateTme Received By:( ignature) Date/Tim 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) DateTme 5 DAY <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />