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Bill To <br /> CHAIN OF CUSTODY RECORD `' ' < ,, ' "-4 3 ' t•51 «EN Lan <br /> �' t <br /> Sherwood P 01 Box 937der Avenue <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention J Phone - Pa e Of L_ <br /> N!a C 0 R i P 0 R A T ! O N FAX (209) 667-258 9 <br /> Job Number f Project Name <br /> Samplers (Signature) ( r� <br /> Q �I <br /> { SAMPLE DATE TYPE SAMPLE NO <br /> SAMPLE INFORMATION OF REMARKS <br /> NUMBER TYPE CNTRS <br /> TT I <br /> i <br /> Relin fished y ( pature) Date/Ti e Reopived By (Signature) Date/Ttme Ship Via <br /> eh� he <br /> y (Signature) DaterTime eceroed By (Signature) RaterTime <br /> TURNAROUND TIME Date <br /> Relinquished By (Signature) Date/Time Received By (Signature) Date/Time <br /> ,,//;; �J -/,/ <br /> J 24 RR .1 S Day �10 Day <br /> ( 7'yi r � 2c1 -/,/ ` <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pml{ Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements a u n3d,, <br />