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1 # <br /> IW Bill To J <br /> CHAIN OF CUSTODY RECORD ' r'-v'' NEW <br /> Sherwood 8071 N Lander Avenue <br /> raill <br /> P O Box 937 <br /> Hilmar, California 95324 <br /> =LiLabs (209) 667-5258 Attention Phone <br /> C 0 R P 0 R A T r 0 N FAX (209) 667-2581 m '�'` 5 r o� Page __L of <br /> Job Number ;2 100 Project Name <br /> j Y <br /> Samplers (Signature) t ) PO Number <br /> Ike <br /> SAMPLE SAMPLE NO <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF t� REMARK' " <br /> CNTRS <br /> 1y/-3 9 X x Q QC <br /> 'tj/t'" '? .3 X x <br /> x x k <br /> A <br /> RW=S19)PtUre) DatelTime Recved By (8ignattit <br /> Date/Time Ship Via <br /> 11 <br /> rA y <br /> Relinquished By (Signature) DateJime Re ived By (Signatu ) DatelTime <br /> TURNAROUND TIME Date <br /> Relinquished By (Signature) Date/Time Received By (Signature) Date[Time <br /> ❑24 HR 4.Sh Day ❑10 Day <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Sampler (VOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />