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_6 � -�--- � � ttttttttt■. tttttttti <br /> ZHAIN OF CUSTODY RECORD ) Bill To 4s� � <br /> Sherwood 3071 N Lander Avenue <br /> ,t P O Box 937 <br /> (� Hilmar, California 95324 <br /> Labs FAX 209 667-52587Attention �7-ov� Phong�� � Pae � of <br /> CORPORATION ( ) 66 2581 `�' v�f3 9 <br /> Job Number PO # Protect Name <br /> Samplers (Signature) �y Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> C9 <br /> (IDENTIFICATION) (MTWDAY/YR) (HOUR/MIN) CONTAINERS (GRAB COMPO OTE) MATRIX �'�0�Q� � <br /> REMARKS <br /> VC3 - 3 o3 11:07 r �r o` <br /> VC 3 - t �/ 03 ►t 17 t sot <br /> Relinquished By(Signature) Datil Rene By (Signature) Datelfrime TURNAROUND TIME <br /> e 6nqwshad By (Signature) Date/time Received By (Signature) Date/Time <br /> 24 HOUR D <br /> .t/ 48 HOUR ❑ <br /> Relit fished By (Signature Dat me IU7,7113y (Signatul Dat ime <br /> f � y Z)J ri,7 7 " V f G f 3 5 DAYo� <br /> IBUTION 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 />