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*CHAIN OF CUSTODY RECORD BiIITo X02 yjt �, , cOL <br /> d ox <br /> Sherwood 8071 N Lander Avenue 4g5-3S 7 <br /> PO Box 937 , 11 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone, <br /> C O R P O R A T I O N FAX (2139) 667-2581z�/ Page of <br /> f <br /> Job Number PO # Project Name <br /> I , <br /> C <br /> qq Samp rs (Signatu Site AddressJ /� 6N <br /> yqj <br /> SAMPLE LOCATION DATE TIME NUMBER (GRAB <br /> SAMPLE ��} �~ �� .T <br /> (IDENTIFICATION) (MTHIDAY/YR) (HOURIMIN) OF (GRAB OR MATRIX �� Q� <br /> CONTAINERS COMPOSITE) REMARKS <br /> 3 <br /> C ►+,�,�,_ U 5 A y. <br /> 5 �� Y <br /> Y <br /> Relin uishedBy (Sign ture)= Date/Time ReceivedBy <br /> (Signature) Datef Mme <br /> TURNAROUND TIME <br /> 'All '� la z� l�'r�a►9,r�1. �, � /p �S/99 �I,313,¢, <br /> Relfnquished By (Signature) F&eived By (Sign ure) Datelrime24 HOUR L11a8 <br /> /a f9 /-z"v l b 111'Z 9 S Z Jp 48 HOUR ❑ <br /> Ref ngwshed By (Signature) DateMme r Received By ( gnafure) Datefrime Ij DAY <br /> ` j 1 <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 />