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t-tiJUIN OF CUSTODY RECORD :,r Bill To: / <br /> Sherwood 8071 N. Lander Avenue <br /> ,[ P.O. Box 937 <br /> F U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: v Phone: 0 Page of <br /> C 0 R r 0 R A T-1 0 NFAX (289) GG7-2581 f <br /> Job Number: Project Name <br /> .33016-06 <br /> Samppl1yyerbbs:(Signature)�� P.O.Number: <br /> SAMPLE SAMPLE NO. ,� <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION of REMARKS <br /> CNTRS <br /> t:-►rte yr 4e, j X <br /> J/:6b r r yC -< Y <br /> Relinqu' he By:(94n re) Datefrime Rece ed By:(Signature)i - Dale/Time Ship Via: <br /> Relinquished By-(Signature) DateMme Received By:(Signature) Dale/rime <br /> TURNAROUND TIME: Date <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) Date/Time <br /> ❑24-HR _�]5-Day ❑10-Day <br /> DISTRIBUTION:Original•Accompanies Shipment: Canary Copy-Sherwood Pink-Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />