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WAIN OF CUSTODY RECORD Bd€To SHERWOOD LABS <br /> PO Box 937 <br /> anerwoo P O Box 937 8071 Iv Lander Avenue HILMAR, CA 95324 <br /> )� � <br /> (� Hilmar, California 95324 <br /> Labs (209) 667-52 Attention VICKI HUBIS Phone 209-667-5258 Page of,` <br /> C O R P O R A T 1 0 N (209) 66 2581 <br /> Job NumberP o q Proledt Name--] y g, <br /> { r s} firs/ � 1 f a <br /> Samplers (Signature) Site Address <br /> NUMBER TYPE F <br /> SAMPLE LOCATION DATE TIME SAMPLE }"'I <br /> HI <br /> (IDENTIFICATION) (MTDAYNR) (HOURIMIN OF (GRAB OR > t t s <br /> CONTAINERS COMPOSITE) MATRIX REMARKS K <br /> 0 € v, <br /> ,�- tf,ltsrl lr c �1+ I�# 1 <br /> n+r. <br /> f Y t r v + <br /> s � <br /> i � t} <br /> r <br /> Relinq hed By (Signature) f DateRme Received By(Signature) Datetrome <br /> t TURNAROUND TIME <br /> 1 f ��.+ S ��,� ter-I <br /> Relinquished By (Signaturef Datemime ReceEved By (Signature) DateRme 24 HOUR ❑ <br /> r r <br /> flAAC < Ac r.s = 48 HOUR ❑ <br /> Relinquished By (Signature) Dateme` Received By'(Signature) Date/Time <br /> z �`5 DAY ❑ <br /> DISTRIBUTION Ongmal Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br /> I <br />