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CHAIN OF CUSTODY RECORD Bill TO J� . <br /> ane/'wood 8071 N. Lander Avenue ��'�` <br /> PO. Box 937 <br /> Labs Hilmar, California 95324 GL <br /> (209) 667-5258 gnention: J <br /> CORPORA T / ON FAX (209) 667-2581 C A_a° r Page _of <br /> Job Number P.O.K Project Name <br /> f�k,jCAA <br /> Samplers:( ' nature Site Address <br /> 13 5-64 ,$.Skn/✓--,• IF <br /> (l•v%R R/t-^JK, <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE <br /> (IDETI <br /> NFICATION) ({,tTKVAyryq OF (GRAB OR SAMPLE <br /> (HOUR/MIN) CONTAINERS COMPOSITE) (MATRIX <br /> - 131,4 • a 2 /-� 3-q g it 3 J REMARKS <br /> i sv�i a a 9� - tea. <br /> rig 8(r ? �• " ''' Utmer-<0- Crn writ <br /> k4 - wCt� rk� Zjo+�✓ rSeine <br /> (: zo <br /> wa7�r our �R� DX �ttia PS <br /> Relinquished By:(Signature) DateTme Received(6y:(Signature) Datemme <br /> TURNAROUNDTIME <br /> Relinquished By:IS Date/time Received By:(Signature) Date/Time 24 HOUR ❑ <br /> Relinquished By(Signature) I Date/time Received By:(Signature) Date/time 48 HOUR C3 <br /> 5 DAY <br /> u15TR16t;T70N: Original-Accompanies Shipment Canary Cly:S(nerwood Pink Cop/:Sampler NOTE'SanyYax <br />