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CHAIN OF CUSTODY RECORD 13111 TO: r L <br /> t l.r._.r 1 <br /> .OrWood 8471 N. Lander Avenue <br /> PO.Box 937 I L 1-11041 � U <br /> Oil] Hilmar, California 95324 ` <br /> abs (249) 667-5258 Ahention_<� ne ! <br /> C <br /> OR P 0 R A T 1 O N FAX(209) 667-2561 <br /> 1 <br /> ,Jab Number . P.O.# pmie Name I <br /> } <br /> _ o �- <br /> S�mplers:(Signature) Site Address <br /> Cryo Qyo 1 <br /> -- 1 <br /> SAMPLE LOCATION DATE TIME NUMBERE7FIA <br /> SAMPLE <br /> ` 'IDENFiFICATION) (IMTKMAYNn) (HOURWIN) OF MATRIX �� Q� e <br /> CONTAINERS �' �' .� REMARKS <br /> co ' <br /> `r y� i L Tmj <br /> O <br /> D 1 <br /> I <br /> M� I <br /> 01 <br /> W <br /> _ I <br /> I <br /> - 1 <br /> 1 <br /> - 1 <br /> 1 <br /> , <br /> 1 <br /> , <br /> I <br /> i <br /> 1 <br /> i <br /> 1 <br /> 1 <br /> to _ <br /> W <br /> I <br /> I <br /> I <br /> ReTi ed By:(Signature) �' Daterl"Ime Received By:ftnatura) DatefTime <br /> r f f fl _ TURNAROUND TIME m <br /> tRelinquIshed By:(Signature) Daterrime Received By:{Signature} DaWrtme 24 HOUR U <br /> 48 HOUR ❑ m <br /> 1 <br /> ■Rel6tquished By:(Signature) DataMme Received By:(Signature) Datefrinee 5 DAVE <br /> 1 <br /> 1 <br /> CJ TRJ DUTION: Original-Accwnpanies Shipmew Canary Copy:Sherwood Pink Copy:Samprar NOTE:Samples are discarded 30 days atter results are reported unless other arrangements are made ; <br />