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WHAIN <br /> I� � v�Q OF CUSTODY RECORD <br /> 7; BmTo/�U �h�S2 FMV/ tiM 4 <br /> r= <br /> SherwoodPO6071 N Lander Avenue <br /> Box 937 <br /> UU] <br /> Labs <br /> Hilmar, California 95324 <br /> (209) 667-5258 gttentw <br /> C O R P O R A T I O N FAX (209) 667-2581 "1��1 X10"e Page-j—of <br /> Job Number PO tt Proleer Name <br /> ,•L <br /> MANNAPIES) <br /> Samplers (Signature) Sde Address <br /> W00tA 5 k:l 1NRRD0 ti o <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTH/DAYNR) (HOUR/MIN) OF (GRAS OR CONTAINERS COMPOSITE) MATRIX m � Q� <br /> A501-2- -365- 36.0' °7 3 o I/70 46 s5 REMARKS <br /> MW-Z. 4455- g6(11 0-1/5) 0 /155 l GRM ! Solt, <br /> �- 155 5 -5C a7/31/01 12-ZO 64-P) <br /> Relinquished By re) Dat Received By(Signature) DateTme <br /> GQ �� / � 8TURNAR UNDTIME <br /> / o/ <br /> o t Z <br /> Rd wished By(Signature) Date/TPme eceived (Signature} aterrime 24 HOUR ❑ <br /> 48 .sem ,Z4,1� tez'aU 48 HOUR ❑ <br /> paft qushed bf Ilawatare) Datenime Rete By (signature) DatiV ime <br /> 5DAY ❑ <br /> DISTRIBUTION OrtOW-Acoorrrpanles Shipment Canary Copy-Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after resufts are reported unless Wwr <br /> anangemerHs are made <br />