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CHAIN OF CUSTODY RECORD Ili!!Tb <br /> r f <br /> shed P.O.IBox 93 [~ <br /> N.Lander Avenue € �� <br /> 3� <br /> Hilmar, California 95324 r <br /> Labs:. :.. <br /> Labs (209)867-5258.,.. <br /> -. WmC <br /> Atlenaion-O:A P:O R a r_a o N= .,FAX{209)667-2581 (� .bra g Page' or <br /> '.- Job Numhsr T_ BO:1t _._•• = Fr Elaine <br /> Lunn <br /> Samprers:(Sgnature) She Address �g 1 ti4 <br /> NUMBER <br /> SAMPLE LOCATION DATE TIME NUOF RA. (eTYPE E SAMPLE �� <br /> (IDENTifICATION) (tVITWaAY/YR) (MOl1R1M CONTAINERS COWosnv MATRIX <br /> REMARKS <br /> aEM Lk) aTqg Grab '9 <br /> Re" sd By:(Siyntu Os s Raosived By:§*ause) DataRme .TURNAROUND IME <br /> -ate S r00 V"a 115 <br /> Relinquished By:(Sgnaluro) Oa1a'lirns Reoelwed By:(Signature) Dala+Tipre 24 HOUR a <br /> 48 HOUR El <br /> fieGnqulowd By:(Sipalura) Detafiuns Recaivad By:(Slgnalwe) DalefTirne <br /> 5 DAY/ <br /> ik f Z -�K 1, ot7 <br /> ' DiSTRI BU ON: Original-Aaoompaniss Shipm n Canary Copy:Sherrtiood Pink Copy:Sampler NOTE:Samples are disosrAed 30 days after resurla era repprted witess Duret <br /> arrangemerrts are made. <br />