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J4 I <br /> HAIN OF CUSTODY RECORD BiIITo. C'b. <br /> 1 <br /> Sherwood 8071 N. Lander Avenue 442 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> tabs (209) 667-5258 Attention: Pnone: Pae of <br /> C 0 R P 0 R A r r 0 N FAX (209) 667-2581 9 <br /> Job Number: P.O.# Ppeci N me � <br /> LUM <br /> S ignatur Site A dress__11-r­_- A /11 , 2"�' L. C� 5 T <br /> SAMPLEAMPLE NO, P <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF ,� REMARKS <br /> CNTRS <br /> oS'a rn WE <br /> l ` <br /> MAL/ a ' <br /> ------------- <br /> _- <br /> fn 'R <br /> 5 <br /> I <br /> Reli is B .(Signal - {_. Datefrim R ceived,By:{Signature Date/Time Ship Via: <br /> I quisha .(Signat a Bate ime Ae.,ceijed By:(Signatu a i <br /> -1 ' O 6'.1 " g 9 �� TURNAROUND TIME: <br /> elinquishad By:(Signale) at ime Received By Laboratory <br /> Date/Time ❑24-HR ❑48-HR DAY ❑ 10 DAY <br /> DISTRIBUTION:Original-Accompanies Shipment: Canary Copy-Sherwood Pink-Sampler NOTE:Samples are discarded 30 days atter results are reported unless other arrangements are made. <br />