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A <br /> ToAIN OF CUSTODY RECOhD <br /> s <br /> 8071 N <br /> Sherwood PO Box 937 Lander Avenue <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone Page of�� <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 <br /> Job Number PO tt Project Name �~ <br /> OTL <br /> Sample gnature <br /> ) Site Address �� p1 <br /> h \mym <br /> SAMPLE LOCAT N DATE TIME NUMBER TYPE SAMPLE } <br /> OF (GRAB OR <br /> (IDENTIFICATION) (MTWDAYIYR) (HOUR/MlN) CONTAINERS COMPOSITE) MATRIX � AQ h� REMARKS <br /> I <br /> 0f ( !l N <br /> l <br /> @e in ed a Signature Dated a Received By (Signature) Date/Time el TURNAROUND TIME <br /> f-r <br /> Reimguishe�B (Sig a u ) _ DatelT a ived By (Signature) DateRme 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> 1 <br /> Re inquished By (Signature) Date/Time Received By (Signatuuree Daatt�eRme / �-^ 5 DAY CJ <br /> 194/ <br /> 4 <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Sa s are discarded 30 days after results are reported unless other arrangements are made <br />