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01AIN OF CUSTODY RECORDddM- <br /> _ <br /> Bill To �- <br /> wood so71 N LanderAvenue a <br /> )1 Sher P 0 Box 937 <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention _v - Phone Pae } of <br /> C O R P O R A T I O N FAX (209) 667-2581 _ l {°� -e-...� z-r ' 9 <br /> Job Number PO # Protect Name <br /> Samplers (Signature) Site Addresst <br /> 7u4 <br /> SAMPLE LOCATION-- DATE TIME NUMBER TYPE SAMPLE ��� <br /> (IDENTIFICATION) (MTH/DAYIYR) (HOUR/MIN) OF (GRAB OR A, <br /> CONTAINERS COMPOSITE) MATRIX REMARKS <br /> 'Y f �" f�y —•eL � �"`fi.1i'�f 1 ♦:t�].♦ri if 1'G_ ' !+ a/ <br /> r41 <br /> Y r� t <br /> U <br /> t t� <br /> I t ` � r l♦ f <br /> vi <br /> Relinquished By (Signature) Date/Time Received By (Signature) DateTI-ime % TURNAROUND TIME <br /> j r , <br /> Relinquished By (Signature)`~ ° DaEe/Time Received By (Signature) DateMme 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> ,DISTRelinquished By (Signature) Date/Time Received By (Signature) Dale/Time rj DAY L11— <br /> DISTRIBUTION <br /> RIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after resutts are reported unless other arrangements are made <br />