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#Co 6 q Q5,01—Sez-SD <br /> 13i1I To <br /> CHAIN OF CUSTODY RECORD °G < <-�--- _ �'•� r ��� U -'cam <br /> , <br /> 8071 N Lander Avenue <br /> Sherwood <br /> �7 G r <br /> �( P 0 Box 937 <br /> L] Hilmar, California 95324 <br /> Labs (209) 667-6258 Attention Phone <br /> C 0 R P 0 R A T r 0 N FAX (209) 667-2561 Page of <br /> Job Number Project Name , <br /> Sa rgnature} PO Number v i� <br /> SAMPLE E SAMPLE NO <br /> NUMBER 17 TIME TYPE SAMPLE INFORMATION ofd + REMARKS <br /> 1 CNTRS <br /> a t <br /> a <br /> 0 <br /> 4'W 76 <br /> -J�� - <br /> � ? k J <br /> RelrOpthed By (SWVref J� Dat im ' Raceive y (5ignature) Date/Time �7 Ship Via <br /> t" / 1 s <br /> Relinqu e y ( gnalure) ale ime `✓ ec d By Sign ture 'F_DalelTime —15 t __1 <br /> TURNAROUND TIME Date <br /> 11 is ed By (Signature) Datef ime Received By (Signature) Date/Time <br /> ❑24 HRDay ❑10 Day <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days atter results are report unless other arrangements are made <br /> i ' L <br />