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HAITI OF CUSTODY RECORD BdITo SHERWOOD LABS <br /> P O BOX 937 <br /> Sherwood 8071 N Lander Avenue HELMAR, CA 95324 <br /> )� P 0 Bax 937 <br /> (� <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Phone 209-667-5258 Page of <br /> D R P 0 R A T 1 0 N FAX (209) 667-2581 <br /> Job Number PO PName <br /> roect <br /> / 9 <br /> <ot <br /> Samplers (Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE GRAB OR SAMPLE <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) CONTAINERS COMPOSITE)OMPOSIITE) MATRIX REMARKS <br /> 041je 00/ <br /> Rehnq fished uy pgr.atur ) Dateff-ime Received By Signat <br /> u <br /> re) Datemme TURNAROUND TIME <br /> Rehrunshed By (Sigriaiure) Date�me <br /> i d By (Signature) DatP <br /> 24 HOUR L1�r [ars 48 HOUR ❑ <br /> R mquished By (Sigr ature) DaielT3 e R ce ed (5cgnatu yee)lDate/Time 5 DAY ❑ <br /> DISTRIBUTION Oncn7al-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />