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$ill To: J <br /> RAIN OF CUSTODY RECORD SHERWOOD LABS <br /> P.O. BOX 937 <br /> erwooP.6071 N. Lander Avenge HILMAR, CA 95324 <br /> D. Box 937 <br /> Hilmar, California 95324 <br /> Labs (209)fi67-5258 allA"`tlon.VICKI HUSIS Plvnc209-667-5258 Pae Of <br /> C O R P O R A T ! O fir' FAX(209) 667-2581 9 <br /> Job Number P.O.a Project Name <br /> Samplers:(Signature) Site Address ftp <br /> Qy <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION} (MT}UDAYNR) (HOURIMIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE} MATRIX REMARKS <br /> Ih .3a1-a1 SOIL o2 H-k -©rb <br /> (k) �. 017 <br /> rhrJJ+�g � (� t bib <br /> o <br /> Reif xi d By:iNgnatur ) Daierw Received By:(Signature) DalelTime C 3' <br /> - TURNAROUND TIME <br /> ' 3�i v1 4900 <br /> Reh uiShed By:(Signature) Data-'rime R ive By;(Signawre) Dal m,e 24 HOUR O <br /> 3_7j_L,0r i,3�.a 2,(v b I !32,b HOUR CIinquishod By:(Signature) Datetrime Reoe By:(Signature) Dawrirne <br /> DISTRIBUTION: Original•A000mpaniesShipment Canary Cela;Sherwood Pink Copy:Sampler NOTE:Samples are distarCled 30 days after results are remrtZ48 <br /> is are made. <br />