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CHAIN OF CUSTODY RECORD Bill To Q <br /> P01 ox 937 Lander Avenue <br /> Sherwood <br /> Hilmar, California 95324 � � <br /> Labs (209) 667-525$ .1151 <br /> ' <br /> Attention , Phone <br /> C O R P O R A T I O N FAX (209) 667-2581 Page of <br /> Job Numb-' PO k Protect NU <br /> Sam p 71)ature) Site Addrefs <br /> ALA \q� <br /> SAMPLE CAT N TIME NUMBER TYPE SAMPLE Q } �� <br /> OF (GRAB OR <br /> (IDENTIFICATION} (MTWDAY/YR) (HOURIMIN) CONTAINERS COMPOSITE) MATRIXAl <br /> Q) REMARKS <br /> f + *7 7nr v X <br /> X <br /> � b <br /> X �C <br /> x <br /> Re is BV(Sognatu Datemme Received By (Signature) Daterrime <br /> TURNAROUND TIME <br /> Relinquished , 6;?94� Z <br /> re} Dat ime ecenred By (S�jnature) DateRme 24 HOUR ❑ <br /> (/•�_:� P t .��a9 yC' �,.s oFt1 �l` 'C t E' er 8 3 48 HOUR E) <br /> I;dlinquished By (Signaturey Datemme Received By (Signature) dalefrime <br /> 5DAY ❑ <br /> DISTRIBUTID 4gmal Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter results are reported unless othera1wents are made <br />