Laserfiche WebLink
oo�z0 7� <br /> CHAIN OF CUSTODY RECORD BillT°: <br /> 071 N. Lander Avenue <br /> 093-7 �etii&mbll4 <br /> Sherwood 8 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: Phon <br /> CORPORA T / ON FAX (209) 667-2581U��Pack pZg 3 Page _� of_L <br /> Job Number P.O.R Project Name <br /> K)k ,Z I e-V-4xV-� omVJ k <br /> Samplers:(Signatur Site Address v�� ry <br /> � \/.A6AcJ cj4'5 01 <br /> -,iO <br /> NUMBER TYPE <br /> SAMPLE LOCATION DATE TIME SAMPLE tZ <br /> (IDENTIFICATION) (MTH/DAY/YR) (HOUR/MIN) OF (GRAB CONTAINERS T MATRIX �- <br /> �� Q� �/ <br /> Q ` M / COMPOSITE) p �' tS � .t REMARKS <br /> j - L C,t ro (1 o VN� w WAT-C-F <br /> C) X <br /> 'S -I O ' i, <br /> iso f <br /> S -lop ?� ' /( 11 l <br /> 30 // / / <br /> 1 <br /> It /I / <br /> 00 <br /> Relinquished By:(Signature) Date/Time Received y:(Signature) Date/Time IAV-7-06 TURNAROUND TIME <br /> ' o U - -rime <br /> Relinquished y:(Signature) Date/Time Received By:(Signature) Date/ 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) Date/Time 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 />