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94AIN O CUSTODY RECORD i Bill To tttttl.w w "� tlw. <br /> 71 <br /> Sherwood 8071 N Lander Avenue <br /> P O Bax 937 <br /> Labs Hilmar, California 95324 <br /> (209) 667-5258 Attention Ph ne <br /> C 0 R P 0 R A T ! 0 R FAX (209) 667-2581 rJ (J Page -3—of <br /> Job Number PON Project Name <br /> 10)' 2 S <br /> Samplers (Signature) i Site Address <br /> SAMPLE 4 SAMPLE NO Q� <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION of REMARKS <br /> CNTRS <br /> 3�21�s3 S <br /> 3 5 3 17 <br /> r <br /> Y& <br /> - 3s -� i� X <br /> 1113 X X <br /> 3 1//3 x <br /> Relinq ed By (Signatyr Datemme Recew By {Signature) Date/Time Ship Via <br /> C122y l` <br /> Re snquished By { ignat u Datefime ReAived By (Signature) Date/Time <br /> TURNAROUND TIME <br /> Relinquished By (Signature) Daterrime Received By Laboratory Date/Time ❑24-HFI ❑48-HR ❑5-DAY ❑ 10-DAY <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />