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IV t*HAIN OF CUSTODY RECORD * Bill <br /> � 1 e <br /> To L" V�2— ('0� <br /> rr 61 rV EE <br /> Sherwood $071 N Lander Avenue <br /> P Q Box 937 <br /> Hilmar, California 95324 <br /> Lalbs (209) 667-5258 Attention Phone Pae of <br /> C O R P O R A T I O N FAX (209) 667-2581 9 <br /> Job Number PO # Protect Name <br /> pl (Signa e) Site Address <br /> r ter: L ! SOLOA =� �N�`OcLO� <br /> y � <br /> SAMPLE LO ATION DATE TIME NUMBER TYPE SAMPLE �} �� <br /> (IDENTIFICATION) (MTH/DAYNR) (HOURIMIN) OF (GRAB OR Al �� .r Q <br /> }} <br /> CONTAINERS COMPOSITE) MATRIX Y0 REMARKS <br /> ! <br /> ! <br /> Relr urs By (Sig lure) Datemme Recewed By (Signature) Date/Time TURNAROUND TIME <br /> ��/, -,foa-4A 1.21100 <br /> Relinquished By ( rgnature) Dat i wed By (Signature) ��� DaterTme 24 HOUR ❑ <br /> i I <br /> a <br /> ////f z,'.37 ` IZI ( ! �� Z 3T � 48 HOUR LJ <br /> Iinquished By(Stgnature)l Datatime Received 4(Signature) Date/Time 5 DAY <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 />