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jut <br /> CHAIN OF CUSTODY RECORD Bill To <br /> r 8071 N Lander Avenue <br /> SherwoodP O Box 937 <br /> (� 0 Hilmar, California 95324 <br /> Labs (209) 667-5256 Attention Phone <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 S V5v Page L of <br /> Job Number PQ Project Name <br /> Ak V' - ti <br /> Samplers (Signature Site Address Si°tO FF .K5 <br /> 011 A) <br /> SAMPLE SAMPLENO <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF P�L'�N � REMARKS <br /> cNTRS c� <br /> R �•,�� y 7 � ��-,�� �ar 1 � X <br /> A b TM u3y7 o i� of X r <br /> /} . M W 2 <br /> R .tAo7 a x <br /> R�q ti.w 7 3 j s x <br /> OF <br /> I <br /> Mid ?i <br /> ' 1 I <br /> �g �w <br /> 'U US <br /> 1 <br /> Relinquished By (Sig tura) Date/Ttme ) ewed B (Si nature) Dale/Time Ship Via <br /> t'}� !!-�f• � 1� fir'^ � U �f I .2.5' � Q�P <br /> r <br /> ph.q,ish <br /> �rgnature) Datefrime ecerved By (Signator DatelTime <br /> C , � TURNAROUND TIME <br /> B Si nature ate/Trme R ed B aborator Dat rmey�( $ ) y y ❑24-HR L148-HR ❑5-DAY 410-DAY <br /> DISTRIBUTION On Accompanies Shipment Canary Copy Sherwood Pink Sampl6r • NOTB Samples are discarded 30 days after results are reported unless other arrants are made <br /> i <br />