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..� .� � �■ tttttttttt� �� �� ■lel � <br /> 1WHAIN OF CUSTODY RECORD 10 BillTo, 4,z l� ���, �, NEW <br /> — <br /> 8071 N Lander Avenue <br /> Sherwood <br /> P O Box 937 C5 15 7 <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 �c� r ( ! S � ���7 Page of-/ <br /> Job Number PO # Protect Name <br /> Sample Signatur Site Address <br /> NUMBER TYPE �` O <br /> SAMPLE LOCATION DATE TIME SAMPLE t�, 0 r <br /> (IDENTIFICATION) (MTH/DAYNR) (HOUR/MIN) F (GRAB OR <br /> CONTAINERS NCOMPOSITE) MATRIX REMARKS <br /> Cc.."/)v `f_y so r <br /> CW/n w- 7 /,0.. 3/" 1 ✓ r ✓ <br /> Retinqui ed By _(sdnaluir Daterrime Received By (Signature) DatelTime <br /> A�11 TURNAROUND TIME <br /> f� linquished By (Signature) ate/(me 7ev;�y'(Signature) DatelTi a24 HOUR LI 48 HOUR ❑ <br /> R linquished By (Signature) Date/Trme Received By (Signature) atelTime 5 DAY 8— <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 />