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� <br /> STAIN OF CUSTODY RECORD illToC��I <br /> to J o � <br /> . <br /> 8071 N Lander Avenue <br /> Sherwood P O Box 937 m ��>� QA '9G'36--7 <br /> 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 7-1 z y7 Page of-- <br /> Job Number 1po # PName <br /> T7�1 <br /> ?1 9 e+ <br /> Samplers (5ignaturg)" Site Address <br /> r 7 ! E_ C-6rq <br /> 109L✓ C o Qv ory ry�� �� y� <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE -r <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) CONTAINERS NERS COG PO O E} MATRIX A , ,`Q� <br /> ^� "RRE' <br /> MARKS <br /> C4J M Lc�- I� 1 p 10.' 0S'4.' Y k� �l a fC� ✓ j <br /> C1:0gg ✓ s <br /> larn i✓- Ja:D i, Y <br /> - Z- la a 5 v <br /> Cw w- 3:Si m ✓ <br /> Relinquished By (S199pdture) Date/Time Received By (Signature) DatelTime <br /> TURNAROUND TIME <br /> �ehnquus ed By (Signature) Dato/Time Rffceived (Signature) Daterrifne 24 HOUR ❑ <br /> L l/+ -1- 710a leoDA /'4f CJo lo 48 HOUR ❑ <br /> R quished By (Signature) Datefrime Received By (Signature) DatefTtme 5 DAY 0-- <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 />