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HAIN OF CUSTODY ODY RECO D 3 "' iiiTo:Y SHERWOOD LABS <br /> P.Q <br /> Sherwood P-Q- . BOX 937 <br /> 8Bax 937 H07 N. Lander Avenue ILMAR, CA 95324 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: Phone: !' <br /> C O R P O R A T 1 O N FAX (209) 667-2581 VICKI HUi31S 209-667-5258 Page of <br /> Jab Number P.O.# Project Name <br /> 1,7 <br /> Samplers:(Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTHMAY/YR) (HOUR/MIN) OF (GRAB CONTAINERS COMPOSITE) MATRIX «fir''t REMARKS <br /> Refnqu shed By:(Signature) Dateffime Received By:(Signature) Date/rime TURNAROUND TIME <br /> t f <br /> Relinquished By:(Signature) D- ` ,e <br /> -.- atame FieCeivedBy:(Signature) 24 HOUR ❑ <br /> 48 HOUR.l7 <br /> Relinquished By:(Signature) Datefrime Received By:(Signature) Date/Time DAY ❑ <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 />