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7zt -7 770 <br /> WAIN OF CUSTODY RECORD Q 10-7 7-7 <br /> Sherwood 8071 N Lander Avenue / <br /> PO Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention �� Phone� Pae of <br /> C 0 R P O R A T r 0 N FAX (209) 667-2581 -� 7 r -y7 9 —/ -� <br /> Job Number PO # Prot Name <br /> Samplers (Signature) Site Address <br /> IN <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE O�0 act <br /> (IDENTIFICATION) (MTH/DAY/YR) (HOUR/MIN) OF (GRAB MATRIX �� '�� Q'r }�� <br /> CONTAINERS COMPOSITE) r � REMARKS <br /> r0 ° V <br /> — <br /> r - bo r tf <br /> J <br /> 3 i t! V <br /> Relinquished By (Signature) Date/Tme Receiv By (Signature) Date/Time <br /> (�--� .S� TURNAROUND TIME <br /> Relinquished By (Signature) Date(rime Received By (Signature) DatefFiime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) DateRme Received By (Signature) DateiTime 5 DAYI� <br /> f <br /> DISTRIBUTION Original Accompanies SNpment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />