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.PHAIN OF CUSTODY RECORD Bill TO r 0 <br /> Sherwood8071 N Lander Avenue ,I <br /> PO Box 937 ' <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone _I Page of <br /> C O-R POR A T I O N FAX (209) 667-2581 n L ' <br /> Job Number PO # Protect Name �� CP <br /> Samplers (Signature) t Site Address ( c'i �3\ <br /> < t R/� <br /> A <br /> ) u r P f r r "'r <br /> 12+y w�ti �QY �o`y OryO� �4 �yQ1 1 <br /> NUMBER TYPE A- <br /> SAMPLE a� o <br /> SAMPLE LOCATION DATE TIME OF (GRAB OR SAMPLE ��, ��� �, QZ` b <br /> (IDENTIFICATION) {MTH/DAYIYR} (HOURIMlN) CONTAINERS CGWOSITE) MATRIX �'� REMARKS <br /> (Y (P4) r ru ?{ A. �7 I J I� <br /> "b <br /> 4- 1 <br /> .j <br /> r <br /> Relinquished By (Signature) Datefrime Receive y (Signature) Datefrime TURNAROUNDTIME <br /> /r <br /> /C% y e�---- 1 Z A <br /> Relinquished By (S+gnaturDaterme REved By (Signature) Date/Time 24 HOUR ❑ <br /> i <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) Date/Time Received By (Signature) Datefrime rj DAY 0 <br /> DISTRIBUTioNWinal Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other a ents are made <br />