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*HAIN OF CUSTODY RECORD BiIITo <br /> 8071 N Lander Avenue <br /> PA o C , L LA <br /> Sherwood <br /> )� PO Box 937 <br /> U <br /> Labs <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 Page of <br /> Job Number PO # Project Name --Ti <br /> L)c� Z <br /> (Signa re) Site Address 53, <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> FLAB OR <br /> (IDENTIFICATION) (MTHIDAY/YR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX ���'��,tQ� " <br /> REMARKS <br /> Z <br /> M, U r II <br /> I I fl ,a �o,Ln L�e .4t'j <br /> �r�Ftf <br /> r l rr J4' k cJ- 61 <br /> o <br /> E Q V 41r� <br /> 9 <br /> R m ed By ignature f Datemme Received By (Signature) DateTme <br /> 4 TURNAROUND TIME <br /> Relm uisheJd:By (Signature) ���'rlatefi-Ae' Rs&ved By (Signature) Date/Time 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Itnqutshed By (Signature) I batetrime Received B (Signature) Datemme <br /> 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 />