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Bill To <br /> CHAIN OF CUSTODY RECORD <br /> 8071 N Lander Avenue <br /> Sherwood P O Box 937 � <br /> Hilmar, California 95324 <br /> LLL]]] Limbs (209) 667-525$ Attention Phone Page �-0f <br /> con PORA TION FAX (209) 667-2581 <br /> Job Number PO # Project me <br /> samplers (Signature) Site Address <br /> �P <br /> NO P ` <br /> SAMPLE SAMPLE SAMPLE INFORMATION OF REMARKS <br /> NUMBER DATE TIME TYPE CNTRS <br /> Z 4_ � 197 t ! Q. 61"- <br /> 19 L> <br /> 1"-05 <br /> ReSI sh d y rTM DatelTrmeJ - eive (Signature <br /> Dated a Ship vIa <br /> Oat�lrame ewe, d By (,5i9rsatur j Dat !Ti e <br /> Retlnquish dByZ(si9r��ture) ;u�11VARoUNDTIME <br /> ffelmquished By (Signage) <br /> ate Mme Received By Laboratory <br /> Date/Time ❑24-HR ❑48-HR ❑5 DAY ❑10 DAY <br /> opy Sherwood Pink Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br /> DISTRIBUTION Accompanies Shipment Canary C <br />