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,iAIN OF CUSTODY RECORD ill To. <br /> �l PO1Box 93der Avenue <br /> Sherwood <br /> Ll 7 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: Phone: <br /> C O R P O R A T 1 O N FAX (209) 667-2581 Page Of <br /> Job Number PO.# Pro/iem/e <br /> Samplers:(Signature) Site Address Cgs <br /> 1b <br /> PE <br /> SAMPLE LOCATION DATE TIME NUMBER <br /> (GRAB OR SAMPLE <br /> C� <br /> (IDENTIFICATION) (MTHIDAYIYR) (HOUR/MIN) MATRIX '� Q� <br /> CONTAINERS COMPOSITE) Q�' A, �^ REMARKS <br /> 1,. .175 <br /> l2 r <br /> 5 1x11 � l, �l ��c i/ U/ ✓ ✓ ✓ Q a' �'� s i .!; �`�n 3� On L0,11, (t <br /> a� <br /> Rel=Auishad By:(Signature))��' Dale/Time Received By:i5ignature) ,rJ Date/Time <br /> TURNAROUNDTIME <br /> f 1 <br /> Relinquished By:(Signa re) Daterrime Received By:(Signature) Datefrime 24 HOUR ❑ <br /> f <br /> UV'r7 <br /> of /� �r� �-' � ri.�" ='-ff', ,- ;....; ;,`,' "_:��,f Y / 48 HOUR <br /> R41inquished By:(Signature) Datefflme Received By:(Signature) Daterl ime 55 DAY <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 />