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ti H f �� JUS I• I• <br /> .`HAIN OF CUSTODY RECORD Bill To <br /> G FIs E U 1 ON�I,I ENTA L I r1G <br /> 2q3? VENE�14 W At1�vvL= �`�z-5/d <br /> ,l <br /> Sherwood 8071 N Lander Avenue mopcsrn,PO Box 937 <br /> (� Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention <br /> CORPORA T1 ON FAX(209) 667-2581 VC �Ct79-�z Page of <br /> Job Number PO # Project Name 6 I r <br /> Sam I Cigna re) r.-\, Site Address <br /> P0AAJ,-)0 57 <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTHIDAY/YR) (HOUR/MIN) OF CONTAINERS COMPOSITE)OR <br /> MATRIX �.��,tQ��� <br /> REMARKS <br /> 2(, dZ zl to - Scar i_. <br /> �EGt1- 25 - AW,0 02/v u 0a s IeAid Sa 1 <br /> 143 /03 S t✓ it} Sit E., <br /> Relinquished By (Signature) Daten ime Received By (Signature) Daterrime <br /> � Uz. 2r t3�v <br /> 4a/ I d TURNAROUND TIME <br /> Relmqug hed By (Signature) Dateffime ReceivedBy (Signa ure) Date/time 24 HOUR Ll���a�f 6 9s I <br /> ���1 441 48 HOUR L11 <br /> Rel shed gy (Signaturf Daterritme R67i d By (Signature) ' D teRme 5 DAY <br /> /Az 7 <br /> D STRIBUTION 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 />