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M = M M <br /> M17z3m �� <br /> e CHAIN OF CUSTODY RECORD Bill Ta `p0 'A C-P , if°, L <br /> )� 6071 N Lander Avenue <br /> Sherwood m v� to0-4. 9�P O Box 937 <br /> [] Hilmar, California 95324 <br /> Labs (209) 667-5256 AttentionPhane <br /> C O R P O R A T I O N FAX (209) 667-2581 C u 5 s c nJ r-a1- j a. Wage j— Of <br /> Jab Number PO q Pro ect Name <br /> 5a rye Jr P,o <br /> Sam rs (Signatu Site Address <br /> ��.t. 7 a ory <br /> � QTi <br /> SAMPLE LOCATION DATELIMNUMBER TYPE SAMPLE <br /> } <br /> (IDENTIFICATION) (MTH/DAYIYR) OF (GRAB OR MATRIX �� Q� <br /> CONTAINERS COMPOSITE) tel` REMARKS <br /> (r f e v ✓ +� <br /> i <br /> C (-,wo A y <br /> L txlw+ 3 v 3 <br /> � <br /> Rel squished By (Srg a�) Date/Time Recery d By (Signature) Date/Time TURNAROUND TIME <br /> rnquished By (Signature) Datefrime R cerved By signature) Dale/The 24 HOUR ❑ <br /> i� lel--29199 1-Z/0A' -�c I G�2�io, } _)JL k48 HOUR ❑ <br /> Refrnquished By (Signature) DatelT+me Received y (Signature) Date/Trrne 5 DAY Z' <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 />