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AIN -OF CUSTODY RECORD ITo: oa_TH N.LN�, rnj INd-- <br /> 6t�,o �. <br /> 8071 N. Lander Ave <br /> P.O. Box 937 <br /> - <br /> Sherrroo _ . <br /> Hila ar, Califomia 95324 . ` <br /> t� ). t19 <br /> 209 667=5258 Attention:. Phone: Page" -oi �. <br /> C O"R'P O' R A T 1 O N FAX(209) 667-2581 <br /> } f <br /> Job Number t P.Q# - Protect Name, Y <br /> Site.Address' S . <br /> Samplers:(Signature 4y Ory° Zp 0� <br /> NUMBBR TYPE -r <br /> SAMPLE.LOCATION DATE:.: TIME : `Sad 14t N Q <br /> pF (GfiAB OR Q <br /> :(IDENTIFICATION)" (MTiUDAYIYR) (11 p11 MEN) _ -CONTAINERS. COMPOSITE) MATRIX �• Q :Q; REMARKS <br /> fit <br /> Com`- • 7 <br /> I ah <br /> C `7Z �riffie <br /> Ll <br /> x <br /> DatelTme <br /> Relinquish By:(Signa ) <br /> Date/Time <br /> z��Q <br /> Received By (Signature) ,a TURNAROUND TIME <br /> R �r7`6 <br /> Relinquished By:(Signature) <br /> DateiTime Recei By:(signature) �. DateRrne .24 HOUR❑ <br /> 48 HOUR ❑ <br /> B Datemroe <br /> q natur atelTime ceiv :(Signature) v';�. 5'.DAY <br /> Retin hed By., ig i - <br /> I.z 8111W- <br /> Hies Shipment Canary G6py:Sherwood Pink Copy:Sampler NOTE:•Sam are.discarded 30 days a er results are reported unless other arrangements are made. <br /> STRIBUTION: Original-Aoco pa P <br />