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�- 4 �&C/ // 0? Oo 7 <br /> CAIN OF CUSTODY RECORD Fz <br /> T 1fU ,4 <br /> 1 � v <br /> Sherwood PO'Box 937 Lander Avenue I D <br /> Hilmar, California 95324 �1J <br /> Labs (209) 667-5258 Attention Phone? c a Pae Of <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 - 9 <br /> Job Number PO k Protect Name <br /> Samplers (Signature) Site Address <br /> 1 <br /> �Qv pryp� (p eco <br /> SAMPLE LOCATION DATE TIME NUMoBER (GRAB <br /> oft SAMPLE P�A <br /> (IDENTIFICATION) (MTII/DAYIYR) (HOUR/MEN) CONTAINERS COMPOSITE) MATRIX �Q ��/ REMARKS <br /> Z Cv�> L� frx �t�r� a /Z 3SP �r �I <br /> to <br /> �zv• �-ao -oma <br /> i <br /> Rel ui d By (Sig ature) Date/7 a Re c ved By (Signature) Date�me <br /> � / U 2 ?a/'r f r • /`1117 TURNAROUND TIME <br /> RehnquishedBy (Sgnature/ Date/Time /�-^'[a,� eceive y (Signature) DatelTi a <br /> /5-1/3- <br /> S 1/ C- 24 HOUR ❑ <br /> Ala,�5 9,0/c MZ J 48 HOUR ❑ <br /> elmgwshed By (Signature Date/Tme Received By (Signature) Date/Time pAY ❑ <br /> DISTRIBUTION 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 />