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N�J) <br /> RAIN OF CUSTODY RECORD BTT° teaI k e/se <br /> Sherwood 5071 N Lander Avenue <br /> �t P O Box 937 <br /> (� Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Pho <br /> C O R P O R A T I O N FAX (209) 667-2581! 4,2�j 3 Page r of <br /> Job Number PO # Project Name <br /> 007 3 10207-3 ro <br /> Samplersk(Signature) Site Address <br /> y � <br /> SAMPLE CdCATION DATE TIME NUMBER TYPE SAMPLE Q, <br /> (IDENTIFICATION) (MTH/DAY/YR) (HOUR/MIN) OF (GRAB IT MATRIX � <z <br /> 3 CONTAINERS COMPOSITE) � A, REMARKS <br /> a- 30, so , ( 1x <br /> V - t p r /0 d 7 sof < <br /> G - a 11:3'1 r< or <br /> VC I - o ' / v a 11;yS { G soi 1 >1 4J <br /> , s <br /> t <br /> Relinquished By (Signature) DateMme Received By(Signature) DateTme <br /> TURNAROUND TIME <br /> Relinquished By (`Signature) DateRme Received By(Signature) Daternm 24 HOUR El <br /> A9"v- 4 � i�4 �3 o 9 /i a- 48 HOUR D <br /> Relinquished By (Sig re) Datem a Aecei d By (Signature) Datefrlme-:_ c� ` <br /> I45 >a37 a /037 5 DAY <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood .Pink Copy Sampler NOTE Samples are discarded V days after results are reported unless other arrangements are made <br />