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CHAIN OF CUSTODY RECORD Bill To , -7--/ �- <br /> Sherwood 8071 N Lander Avenue <br /> ]l P O Box 937 <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C O R P O R A T 1 0 N FAX(209) 667-2581 Page of �— <br /> Job t3umber PO # Project Name <br /> V <br /> Samplers (Signature) Site Address �C6 <br /> v Ory <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE �} I <br /> (IDENTIFICATION) (MTHIDAYNR) (HOURUN) OF (GRAB OR ,t ,`� <br /> t CONTAINERS COMPOSITE) MATRIX � �Q ,�� REMARKS <br /> C-10 S <br /> /9, 401ti-ti <br /> azo <br /> 061 <br /> 1 <br /> d <br /> C�ss <br /> G.S <br /> Re she y (signature Daterrmme Received By (Signature) Datemme TURNAROUND TIME <br /> � q� f <br /> s <br /> Relinquish y (Si ure) DateTrrie HaGeived By (Signature) Date/time 24 HOUR ❑ <br /> �J I ff _ <br /> !fir 3 8 9 .a:'1�� �1' `�) P -� 48 HOUR ❑ <br /> R inqueshed By (Signature) Date ime Receive By (Signature) Date/Time 5 DAY ❑ <br /> DISTRIBUTION 0�1-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrang is are made <br /> i Is <br />