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&AIN OF CUSTODY RECORD dl To SHERWOOD LABS - <br /> P O BOX 937 <br /> Sherwood 8071 N Lander Avenue HILMAR, CA 95324 <br /> j1 P O Box 937 <br /> (� Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Phone 209-667-5258 Page of <br /> C O R P O R A T I O N FAX (209) 667-2581 g l <br /> Job Number PO # Project Name <br /> F OCTHIU MNNE r MOMR TRUM Gj �I7 <br /> j Samplers (Signature) Site Address <br /> 2211 Al WUMd <br /> SAMPLE LOCATION DATE TIME NUMBER TYPEOF (GRAB OR SAMPLE A\ <br /> 11 � <br /> (IDENTIFICATION) (MTWDAYNR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX T \ REMARKS r <br /> ?Q1 9 @ 20` 19 y Uh C- -0 C�0 s01(c <br /> E f f 1 I Sol Lsit i -I <br /> c 4a La I <br /> I <br /> trr�� is ✓ <br /> t <br /> Relingwsi(ed By (Signature} Datelrmee T <br /> eived By`(Signnature) DatelmeOVA, j TURNAROUND TIME <br /> [ L Z4'� <br /> Relinquished By (Signature) DateRme beceived By (Signature) telTme 24 HOUR E):semJS115- 48 HOUR ❑ <br /> AI <br /> Relinquished By (Signature) Datelrrme received <br /> By (Signature) Da erri5 DAYP <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />