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o 4') D <br /> IHAIN OF CUSTODY RECORD Bill To: <br /> 8071 N. Lander Avenue <br /> anerwood P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labqs- (209) 667-5258 - Attention: Phone: Page of 7 <br /> C O R P O R A T 1 0 FAX (209) 667-2581 <br /> Job Number P.O.# Project Name <br /> Samplers:(S' re) Site A ress ��� p1 ,� 0 <br /> A Ory <br /> NUMBER TYPE <br /> SAMPLE LOCAT ON DATE TIME SAMPLE <br /> (IDENTIFICATION) (MTWDAYNR) (HOUR/MIN) OF COMPOSITE) <br /> R MATRIX '�� Q� <br /> fl CONTAINERS COMPOSITE} �' tS � � � REMARKS <br /> rVo '. <br /> um <br /> f � <br /> /f _2 <br /> { <br /> r <br /> 7 <br /> Reli is d By:(Si lure) Daterri Received By:(Signature) Date ime <br /> 2 ,Z) TURNAROUND TIME <br /> 2 , <br /> ��s�7.� <br /> Re inquished By:� gnat e) 06terrime heceiveh By:(Signature) Date/Time f 24 HOUR ❑ <br /> -7� vt 48 HOUR ❑ <br /> relinquished By:(Signature) Datefrime Received By:(Signature) Datelfime 5 DAY ❑ <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days atter results are reported unless other arrangements are made. <br />