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a1iN OF CUSTOD RECORD IWB,IIT. SHERWOOD LABS <br /> P O BOX 937 , <br /> nerwoo P O 1 Box 937de Avenue HILMAR, CA 95324 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBISPhone 209-667-5258 Page of <br /> CORPORA TION FAX (209) 667-2581 <br /> Job Number PO # ProjectName f <br /> y 3 <br /> Samplers (Signature) Site Address <br /> =Qy <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> OF �GRAB OR <br /> (IDENTIFICATION) (MTHIDAYNR) (HOURIMIN) CONTAINERS COMPOSITE) MATRIX REMARKS <br /> i ~ <br /> IV <br /> r £ <br /> Relinquished By (Signature) Date/Time - Received By (Signature) Date/Time r - TURNAROUND TIME <br /> �- <br /> T <br /> Relinquished By (Signature) ~ M Date/Time Rec¢tved By (Signature) DalelTme 24 HOUR ❑ <br /> -Ix <br /> 1 :- 48 HOUR ❑ <br /> Relinquwshod By (Signature) `l Date me racelve d By (Signature) Dat�lrime 5 ©AY <br /> DISTRIBUTION Onginal Accompanies Shipment Canary Cow Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />