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&AIN OF CUSTODY RECORD V11hill To SHERWOOD LABS <br /> PO BOX 937 ' <br /> )� 1 Box 93 der Avenue HILMAR, CA 95324 <br /> Sherwood P 0 <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C O R P O R A T I O N FAX (209) 667-2581 VICKI HUBIS 209-667-5258 Page of <br /> Job Number PO # Project Name <br /> Samplers (Signature) Site Address <br /> �v <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTH/DAYNR) (HOUPJMIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX REMARKS <br /> 1 (2-2 <br /> Ili"v.-1t� 1653 I <br /> 3S I 15 <br /> ' E <br /> - i I <br /> � , t <br /> - C,8 1 [ I I <br /> Relinquished By (Signature) DateMme Received By (S=gnatu/e) Dale/Time TURNAROUND TIME <br /> Relinquished By (Signature) Daterl-ime deceived By (Signature) bate/Time 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) Received By (Signature) DatefFirne r D <br /> AY <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 />