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f/'� 05��o j (D oc ' <br /> CHAIN OF CUSTODY RECORD Bill To --t�f� " U F _ 06:> <br /> 8071 N Lander Avenue <br /> Sherwood P O Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C O R P O R A T I O N FAX (209) 667-2581 Page of <br /> Job Number 1PO k PI Name 1 <br /> 0 r U <br /> Synpl.rs i ature) Sd"ddrejss <br /> 2I<b CIP Dry y .bj <br /> SAMPLOrAT'iili N 10AT6 TIME NUMBER TYPE SAMPLEQ 1,A- <br /> �~ <br /> (IDENTIFICATION) (MTH/DAYNR) (HOUR/MIN) OF (GRAB OR MATRIX � Q� <br /> CONTAINERS COMPOSITE) CO tl` REMARKS <br /> M V} oA Ix <br /> S X <br /> S � <br /> U <br /> i <br /> Relinq By (Sr6nature) Dateol"rimeRecet Br(S nature) DateRme <br /> TURNAROUND TIME <br /> Relinquished By nature O erTme R teed By (Signature) Date�me 24 HOUR ❑ <br /> } <br /> 48 HOUR ❑ <br /> mquished By(SsgriawraI DaterTime Received)By (Signature) Date/rhe 5 DAY ❑ <br /> DISTRIBU ginal-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter results are reported unless other W <br /> ments are made <br />