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MO <br /> HId1IN OF CUSTODY ODY RECO D SHERWOOD LASS <br /> P O BOX 937 <br /> Lander8071 N SAvenue HILMAR, CA 95324 <br /> lie ® P 0 Box 937[Al <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Phone 209-667-5258 Page f of <br /> C O R P O R A T I O N FAX (209) 667-2581 <br /> Job Number PO # Protect Name p i <br /> Sampiers (Signature) Site Address <br /> =�v r <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX * REMARKS <br /> .�0y`^ _�t i `l4�il..�j+ S ' � iF Ca�"�� i•i�"{tet aS :t hs�,.aT i ^ar'S ,4 3g"{'' 3:� <br /> Relinquished By (Signature) Date/ Time Received By (Signature) DateMme TURNAROUND TIME <br /> Relinquished By~(Signature) Date Time Recewed By (Signature) ' Datartme 24 HOUR ❑ <br /> ^i <br /> ell <br /> ✓ f�r 48 HOUR ❑ <br /> Relinquished By (Signature) DateTl-iime Received By (Signature) Date Time lrj DAY t <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 />