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(7%*AIN OF CUSTODY RECORD To D <br /> O QPe � <br /> 0 <br /> d L a O <br /> Sherwood 8071 N Lander Avenue CS b 7 <br /> j' PO Box 937 e <br /> (� Hilmar, California 95324 <br /> Labs (249) 667-5258 Atientioho <br /> C O R P Q R A T I O N FAX (209) 667-2581 e i tv �_o-1-71Page of <br /> Job Number 76-4 — <br /> Pre ect Name <br /> Sam rs (Signa re Site Address tq <br /> h <br /> M E.C. +C w e rj�Qy `ry° <br /> SAMPLE LOCATION DATE TIME NUOF (GRAB OR MBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX Q� <br /> ) � � '� � REMARKS <br /> 06/ ,rj 1 a o tk a 9 g loom fee- � <br /> Dive <br /> -CW 3 Z7Po7i — <br /> C-W 6L As <br /> C _ 5a <br /> l,. <br /> i <br /> ( <br /> t Relin i ed By (S nature) Date/Time R ived By (signature) 9 Datemme TURNAROUND TIME <br /> R� inquisheedd By (Signature) daterfirrie ecei By (Signature) batedme 24 HOUR ❑ <br /> 11041W 1137 1') 48 HOUR ❑ <br /> elinquished By (Signature) baterrime Received By (Signature) Daterl ime 5 DAY U— <br /> F <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />