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( "W I <br /> WHAIN OF CUSTOD RECORD Bill To <br /> Sherwood 8071 N Lander Avenue <br /> P O Box 937 <br /> Lobs Hilmar, California 95324 <br /> (209) 667-5258 Attention Phone <br /> C O R P 0 R A T 1 0 N FAX (209)667-2581 Pd Page -.4—, Of <br /> Joh Number PO ii Project Name <br /> . 213 S_ P C <br /> Sample (Signature) Site Address <br /> P� <br /> SAMPLE DATE TIME SAMPLE NO <br /> SAMPLE INFORMATION OF <br /> NUMBER TYPE REMARKS <br /> CNTRS <br /> 35� -3 <br /> 2 <br /> 30 ;3 <br /> -3/ <br /> 7 <br /> 3� <br /> Relinq <br /> "t3Pred By (Sign"tei Datemme Race iv By (Signature) Date/Time Ship Via <br /> Relinquished By (Signature DatefimeRe ived By (Signature) Datemme <br /> TURNAROUND TIME <br /> Relrnquished By (Signature) Date/Time Received By Laboratory Date/Time ❑24-HR ❑48-HR ❑5-DAY ❑ 10-DAY <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />