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(*AIN To: <br /> ill ' <br /> OF CUSTODY RECORD LL ��r ,uC - 2-1 <br /> 2 � AID <br /> �l <br /> Sherwobd 8071 N. Lander Avenue L r CA S -P.O. Box 937 , <br /> (� Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: <br /> C O R P O- R A T 1 O N FAX (209) 667-2581 Phone: Rage �f�- <br /> Job Number PO.# Project Name <br /> Samplers:(Signature) Site Address <br /> 1 <br /> NUMBER TYPE <br /> SAMPLE LOCATION DATE TIME SAMPLE <br /> (IDENTIFICATION) - (MTH/DAY/YR) (HOUR/MIN) OF (GRAB OR MATRIX -k Q� <br /> CONTAINERS COMPOSITE) �' REMARKS <br /> X <br /> i <br /> i <br /> Rell ui By, Signatur Date/Time ! � ece'rved By:(Signature) Date/Time TURNAROUND TIME <br /> Re in uished (S 'lure) eatefrirp6 Received y:(Signature)) ` Datefrme 24 HOUR L1as of /.s-P KdG�. � 48 HOUR 0 <br /> 4 <br /> linquished By:(Signature) DatefTime Received By:(Signature) atemme rj DAY ❑ <br /> I <br /> DISTRIBUTION: 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 />