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CHAIN OF CUSTODY RECORD Bill To 11[ Liv 8071 N Lander Avenue <br /> Sherwood `( <br /> P.O. Box 937 n <br /> LA�� Hilmar, California 95324 <br /> Q (209) 667-5258 Altentio . Pho <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 Llr FT X54.`1-.SS7S7 Page Of <br /> Job Number: Pro cl Name <br /> Sampler ignature) P.O.Number: <br /> f <br /> SAMPLE SAMPLE NO, <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF REMARKS <br /> CNTRS///97 <br /> , I <br /> —Gr �7 nn c `IL 55 45 `l <br /> 75�t� L — W IJ II. <br /> ENVIRONMENTAL HEALTH <br /> linquished By:(SignatureL Date rime Received By:(Signature) Date/Time Ship Via <br /> Relinqu..hed By.(Signature) Date/Time Received By:(Signature) Date/Time <br /> TURNAROUND TIME. Dale <br /> Relinquished By:(Signature) Date/Time Recei By:ISignat Dime �r� <br /> C.� LJ 24-HR U 5-Day LyirO-Day <br /> DISTRIBUTION:Original-Accompanies Shipment Canary Copy-Shennood Pink-SamplerIf NOTE.Samples are discaded 30 days alter results are reported unless other arrangements are made. <br />