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CHAIN OF CUSTODY RECORD Bill To <br /> Sherwood P01Box 937 er Avenue1,4121 <br /> Hilmar, California 95324 L. <br /> ) Labs (209) 667-5258 Attentionane <br /> C O R P O R A T I O N FAX (209) 667-2561 ( , Pae of <br /> r. <br /> Job Number PO k Project NameII // ,,}} 7 l�� �1 <br /> Samplers gn tZre) Site Address !�! °�h <br /> �� <br /> SAMPLE OCATI DAT TIME NUMBER TYPE SAMPLE 0 <br /> � <br /> (IDENTIFICATION) (MTHIDAY/YR) (NOURIMIN) of (GRAB OR CONTAINERS COMPOSITE) MATRIX 0 REMARKS <br /> tA <br /> t c, 06 S -�de Y��u r �� 2S <br /> 40 <br /> { f �� X60 ox e� cry ,/ q <br /> ) ! � <br /> iir y )E A <br /> 4 <br /> �� GJ <br /> Rahn sh y ignature) f Datemme Fl ved9By (Siggn,{attuure))_ Date/Time TURNAROUND TIME <br /> / /f � r � � Y q.d��4�LLrl� y <br /> Rei unshed rgnatu ) Dat , ime calved By (Signature) DatetTi a 24 HOUR ❑ <br /> t <br /> 48 HOUR ❑ <br /> hnquwshed By (Signature) Date Ime BgTilved By (Slgnat re) DatelTrm 5 DAY ❑ <br /> I,�c� <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE 5 pies are discarded 30 days atter results are reported unless other arrangements are made <br />