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CHAIN OF CUSTODY RECORD <br /> Sherwood RO. Lander Avenue <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> 6SIlLabs (209) 667-5258 Attention: Phone: <br /> C O R P O R A T I O N FAX (209) 667-2581 Page of <br /> Jo tuber P.O-# Project Name r �� <br /> ,tJr" <br /> Samplers:(Signature) <br /> Site Address Cpm <br /> 1 <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE �' <v � .2- <br /> (IDENTIFICATION) (MTH/DAY/YR) (HOUR/MIN) CONTAF (GRABINERS NERS COMPO OTE MATRIX A, Q� <br /> t / ) C �' REMARKS <br /> ReGnqui y:(Si nature) Date/Time Received By:(Signature) Date/Time <br /> -TURNAROUND TIME <br /> Relinquished By: ignatur Date/Time Received By:(Signature) batelTime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By:(Signature) Date/Time y Received By:(Signature) Date/Time 5 DAY ❑ <br /> J <br /> 1,31BUTION: 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 />