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C`VHAIN OF CUSTODY RECORD OD113illTo <br /> �. / S7S3Sl <br /> 8071 N Lander Avenue <br /> Sherwood PO Box 937 -- aex 2:E--n5-7 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phones —7-IZ g <br /> C O R P O R A T I O N FAX (209) 667-2581 -a Pae / of <br /> Job Number PO # Project Name <br /> o 6 a 774d 3 <br /> Samplers (Signature) Site AddFess <br /> SAMPLE LOC ION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTFUDAYlYR) (HOUR/MIN) OF (GRAB OR CONTAINERS COMPOSITE) MATRIX 40 � ,`Q��� �� REMARK <br /> 3 3r <br /> 3fy . +. ✓ ✓ <br /> a .1AA. ,, ✓ <br /> ww <br /> L <br /> 60 Vr!►M ✓ <br /> � Baas ✓ ✓ ./ <br /> Reiin fished By (Signature) Date/Time Reoeiv dBy (Signature) Dat&Time TURNAROUND TIME <br /> Relinquished By (Signature) Date/Time Received By (Signature) Date/Time 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) <br /> Daterl-ime Received By (signature) Daterl-ime DAY ❑ <br /> kinTC c-ine vn riic,fiari r4n riwc a$Pr rn ifltc Arq rRnnrtarl i1nIPSS Other arran i3IT'I is are made <br />