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CHAIN OF CUSTODY RECORD BttlTo- ,r {.�l c7c P <br /> 8071 N.Lander Avenue <br /> Sherwood <br /> 0 3-7 <br /> P.O. Box 937 <br /> Hilmar, California 85324 (o <br /> Labs (209) 667-525$ <br /> C O R P O R A T 1 0 N FAX(209) 667-2581 Aaennm. P Page of L <br /> Jab Number P.O.N Pr ' � � � <br /> Samplers:(Signature) Site Address Gj� tq <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) rHIO MR) (HOUR/MIN) OF (GRAB MATRIX �� <br /> (M <br /> CONTAINERS COMPOSITI7 Q)' � � fIEnnAF{i<S m <br /> I D1zl m <br /> Com <br /> c)/L /1x30 D <br /> z <br /> r <br /> n <br /> D <br /> r <br /> m <br /> m <br /> J <br /> W <br /> Ln <br /> to <br /> LnP <br /> Retinqulshed By:(Signature1 DMe nme Received W(Signature) DalefTime TURNAROMOTIME <br /> , q L C rr�•�-u� , 3: <br /> Reknqu By:(Signature) Date/Time Recelwad By:(Signature) aiemme 24 HOUR Cl <br /> 48 HOUR CI <br /> RelinQatahad By:(Signature) Date/Tlme Recalved Ry:(Signature) Dale/rime <br /> 5 DAY W <br /> DISTRIBUTION: Original-Aacampanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after rosults are reported unless other arrangements are made. <br />