LABORATORY NUMBER Do not write in this area UNIT RECEIVING OFFICER RECEIVING OFFICER UNIT SIGNATURE TIME DATE COMMENTS PRINTED NAME NO. PRINTED NAME SIGNATURE NO. CAD # OHP 0161 7/17 HP-28 [760-0399] Page 2 of 2 (, ) Case# Property #
LABORATORY NUMBER Do not write in this area PRINTED NAME SIGNATURE UNIT NO. TIME DATE COMMENTS RECEIVING OFFICER PRINTED NAME RECEIVING OFFICER SIGNATURE UNIT NO. CAD # OHP 0161 7/17 HP-28 [760-0399] Page 2 of 2 (, ) Case# Property #
OHP0161%20Property%20Control%20Form.docx