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BillTo <br /> HAIN OF CUSTODY RECORD <br /> Sherwood 8071 N Lander Avenue <br /> P O Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention <br /> Phone Page of <br /> 411CORPOR A T 1 0 N FAX (209) 667-2581 �7_ 2 <br /> Job NumberPO # Protect Name <br /> P416 7 7-00y &5-4,5G0 <br /> Sam rs (Signature Site Address <br /> L q9 ehagrr)1 Wee 0 J 5r, erAw, <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (GRAB OR <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX IQ ,� ,� V REMARKS <br /> Z� 0 2 3a 1- le <br /> 3 ` rev <br /> i' �� J <br /> s~ z — J J J <br /> (p /2 ..2 <br /> :3& ./ <br /> /.3 /� �QR•�. ✓ ✓ ✓ <br /> Relinquished By (Signature) Date/Time Received By (Signature) Date/Time TURNAROUND TIME <br /> - to Z6 d 14: <br /> [Relins hed By (Signature) Dat ime ceiv By (Signature) D telTime 24 HOUR ❑ <br /> IUlf��11 �' I r, 48 HOUR ❑ <br /> �:inquihed By (Signature) Dateffime Received By (Signature) Date/Time 5 DA <br /> € NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler <br /> E <br /> �z 1 <br />