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t <br /> C�HAIN OF <br /> CUSTODY RECORD <br /> Bill To <br /> Sherwood 8071 N Lander Avenue <br /> POO Box 937 <br /> laTil <br /> ���� Hilmar, California 95324 <br /> (209) 667-5258 Attention Phone <br /> C O R P O R A T I O N FAX (209) 667-2581 1 Page ��of -Z—' <br /> Job Number PO # Project Name <br /> Sampler t lure} Site Address <br /> Qn; 1 �0'� <br /> SAMPLE LOC ION DATE TIME NUMBER TYPE LE �- ca O <br /> (IDENTIFICATION) (MTHIDAYIYR) (HOUPWIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX co AQ REMARKS <br /> J <br /> 1 I irk 230/ <br /> ,' a <br /> � (0 oL qp ' <br /> ,I <br /> Rett tied By ignature) DateR a Rece By (Signature) Date�me <br /> Vt <br /> -- � Z, /Z- "'s y _ <br /> TURNAROUND TIME <br /> Relinquished By gnature) ba err aIve By (Signe ure) DateRm <br /> 24 HOUR ❑ <br /> 1700VL-16)e48 HOUR ❑ <br /> rngiaished By(Signature) femme Recerved By (Signature) Dale/Time 5 DAY <br /> DISTRIBI TIOnginal-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other&Ments are made <br />