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i� � �s rwlltttl■ t■I� t� i �■■ � � t� �� �� A � �� � <br /> ,0;HA1N OF CUSTODY RECORD Bill To - <br /> z <br /> Sherwood $01 N Lander Avenue <br /> Jl P O Box 937 �e <br /> Ll Hilmar, California 95324 <br /> Labs (209) 667-5258 AttentionPhon <br /> C O R P O R A T I O N FAX (209) 667-2581 S^%P�/e . fi��0� Page 01 <br /> Job Number PO tf Project Name <br /> Samplers (Signature) Site Address531 <br /> f <br /> gp <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE Q 4r/ <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) OF (GRAB OR MATRIX & <br /> CONTAINERS COMPOSITE) � REMARKS <br /> i <br /> '10- 3z # G <br /> - f t . g 1 <br /> Go. <br /> 3 •a7 ISOX <br /> Refin uqd By (Signature) Daterrime Recer By (Signature) Datemme TURNAROUND TIME <br /> Relinquished By (Signature) atemme Received By (Signal e Daterrime 24 HOUR ❑ <br /> / r �� `l/3 �4a1 ?/�� y'B �3 I000 48 HOUR ❑ <br /> Relinquished By (Signatur$) DatelTime r� 7cei d By (Signatu D te�me 5 DAY] <br /> Cir <br /> Vis/v <br /> iSTRIBUTION Ongi -Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />