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CHAIN OF CUSTODY RECORD Bill To: <br /> Sherwood 8071 N. Lander Avenue <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> abs (209) 667-5258 Attention: Phone: Pae of <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 9 <br /> Job umber P.O.# Project Name <br /> U <br /> Sgr�r ptcfs:(Sig at e) Site Address ~ �h <br /> SAMPLE CATION DDD�TE TIME NUMBER TYPE SAMPLE �} k,V C?my <br /> L ,Z- <br /> (IDENTIFICATION) OF(HOUR/MIN) OF (GRAB OR MATRIX <br /> 4 CONTAINERS COMPOSITE) �' tl` /� t REMARKS <br /> . t <br /> Relinqu hed y:(Si alure) DatelTi Received By:(Signature) Daterrime <br /> p / _ TURNAROUND TIME <br /> Aeljnquishe cl B;:-(Signature) D e/T,rtne Received By:(Signature) daterrime 24 HOUR ❑ <br /> 48 HOUR IJ <br /> elinquished By:(Signature) Date[Time Received By:(Signature) Date/Time DAY ❑ <br /> DiSWIBUTION: 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 />