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=10HAAN OF CUSTODY RECORD ""'To SHERWOOD LABS <br /> P O BOX 937 <br /> AM °II ILe oo 8071 N Lander Avenue HILMAR, CA 95324 <br /> P O Box 937 <br /> Hilmar, Cahfornla 95324 <br /> Labs (209) 667-5258 Attention VICKIHUBIS Phone <br /> C D R P O R A T 1 0 N FAX (209) 667-2581 209-667-5258 Page of <br /> 4T <br /> Job Number PO # Project Name <br /> CAC:irr RFsP <br /> Samplers (Signature) Site Address tj� j <br /> SAMPLE LOCATION DATE TIME NU OBER (Gage E SAMPLE <br /> (IDENTIFICATION) (MTHIDAYIYR) (HOURIMIN) CONTAINERS COMPOSITE) MATRIX REMARKS <br /> + k y <br /> oW 6 2 2 4a <br /> I <br /> Relinquished By (Signature) DateRme Received By (Signature) Date/Time TURNAROUND TIME <br /> r x <br /> ' l rc ✓ � � a `� r� � I <br /> Relinquished By (Signature) Date/Time Received By (Signature) Date/rime 24 HOUR ❑ <br /> 48 HOUR 0 <br /> Relinquished By (Signature) Datell'ime Received By (Signature) Date/Time f-r 5 DAY 0~; <br /> l r <br /> f <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 />