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� , N, dv <br /> BIT° �_ HA ",7 ' 7 <br /> /fid / S o 3 Sf <br /> Sherwood 807 N Lander Avenue 3 o S-3S <br /> P O Box 937 <br /> all <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 Sy7- Page of <br /> Job Number PO p Prot ct Nam 2V <br /> / /r <br /> Sam rs (53 natu► Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE ,A- <br /> {IDENTIFICATION) (MTHIDAYNR) (HOURIMIN) OF (GRAB OR MATRIX A, <br /> CONTAINERS COMPOSITE) � REMARKS <br /> • Z 2 4 0 Z4 3�1 �- ♦ f 'l J <br /> .7 3 <br /> Gwir. 13 low <br /> s J <br /> Gvn-tw S 3 , m J <br /> Relinquished By (Signature) Datefrime Recei d By (Signature) DaterTime TURNAROUND TIME <br /> Relin ishedBy (Signature) I%twTdne ceive 5y (Signature) DatelTame 24 HOUR ❑ <br /> Las p20/Q VCot(_ #u q0 48 HOUR ❑ <br /> Relinquished By (Signature) Date/Time Received By (Signature) Datef ime 5 DAY <br /> � f <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are repo d unless other arrange_menls are made <br />