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��:HAIN OF CUSTODY RECORD �� Bili To Z 12 100 - ooh- , <br /> Sherwood so71 N Lander Avenue <br /> P o Box 937 0A U 8 ift i <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention none ' Pa <br /> C O R P O R A T 1 O N FAX (209) 667-2581 V {1 u 12"t �� ��—�� g 9e —of <br /> Jab Number PO R Project Name <br /> { Ar4r',\ nk 11-7- <br /> Samplers (Signature) Site Address 769 ,ja F,�' �vJ1 p1 <br /> >Ir 1P "i/Z Q" off' <br /> � 9 h <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTNlDAYIYR) (HOUR/MIN) F (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX ,LQ�,tom REMARKS <br /> IJ <br /> Relinquished By (Signature) i Date/Time_ Received By (Signature) DaterTime TURNAROUND TIME <br /> R0inqurshedBy (Signature) atenime Receive By (Signature) Daterr a Z4 HOUR LI/a1°1%� <br /> 48 HOUR ❑ <br /> Imqurshed By (Srgnatur ) Date/Time Received By (Signature) Date/Time 5 DAY O <br /> DISTRIBUTION 4WI-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days alter results are reported unless other arran is are made <br />