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O" I RSMUSTMY <br /> CDBill TO�EL®F�1,.1 SHERWOOD LASS <br /> PO BOX 937 <br /> � <br /> �� ®� 8077 N Lander Avenue HILMAR, CA 95324 <br /> ,t P O Box 937 <br /> [] Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Phone 209.667-5258 PaOf <br /> C O R P O R A T I O N FAX (209) 667-2581 9e <br /> Job Number PO # Project Name <br /> Samplers (Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE ^e. <br /> (IDENTIFICATION) (MTH/DAY/YR} {HOURIMlN} OF (GRAB OR <br /> ,F��} CONTAINERS COMPOSITE) MATRIX REMARKS <br /> to It <br /> FT- <br /> }r <br /> Relsnqul'shed By (Signature) Date/Time Received By (Signature) Daternme TURNAROUND TIME <br /> t r � <br /> Relinquished By (Signature) Daterrime { Received By (Signature) Datefi ime 24 HOUR ❑ <br /> - f 48 HOUR ❑ <br /> Relinquished By (Signature) DalelTme Received By (Signature) Dalefrime 5 DAY ❑ <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copv Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />