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CHAIN OF CUSTODY RECORD Bill To: <br /> Sherwood 8071 N. Lander Avenue <br /> P.O. Box 937 <br /> Labs Hilmar, California 95324 <br /> (209) 667-5258 Attention: Phone: <br /> C O R P O R A T I O N FAX (209) 667-2581 Page of <br /> JobyNum"ber .O.# Project Name <br /> Sam rs: nature) Site Address <br /> rr. Qv Ory 00 eL <br /> SAMPLE LOCATIO. DATE ME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTH/DAYNR) (HOUR/MIN) OF (GRAB OR MATRIX A, Q� <br /> CONTAINERS COMPOSITE) �' REMARKS <br /> G f >C X X1 1 1 2 Ec,c1 1 <br /> Ck- 3 2 <br /> Relin u[ 7:(Sign!atVur Date rime Received By:(Signature) Date/Time 16-4-0 TURNAROUND TIME <br /> - -.-I I ( - 4 ,-�A) , <1!t,_ P t/,i,,I- LE._ (---> t L 11VI--/It <br /> Relinquishe Jay:(Sign ure) Date/Time Received By:(Signature) Date/Time 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By:(Signature) DateMme Received By:(Signature) Date/Time arj DAY ❑ <br /> r - <br /> i <br /> DSS liSIBUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />