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Bill <br /> AIN OF CUSTODY RECORD T° <br /> 3 0 E1. C1qM1dV-Q LL- <br /> 807 <br /> Sherwood P Ol ox 937N Lander Avenue CQ �e0 <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 St �F 7-0"771 Page of <br /> Job Number PO # Protect Name <br /> VAR A t+2 o � <br /> Sa I s (Sign re) Site Address <br /> 7 y 012r-Cr Wo-!14stry'CAJ <br /> !, SAMPLE DATE TIME SAMPLE NO <br /> SAMPLE INFORMATION OF <br /> NUMBER TYPE Q � REMARKS <br /> �y CNTRS <br /> �rlW� 2 r `dlr?n �+J�rtfk 2— <br /> ow— <br /> —ow— 1 Jf+ti Z— r <br /> — L <br /> mW - 6, !t's?qry 7- ' ✓ <br /> W --7 <br /> r� b ,� ✓ <br /> ►�1 W - p d 3z ,� Z ✓ ✓ <br /> Reli hed By igna e) Date/Time Received By (Signature) Date/Time Ship Via <br /> R`rngwshed y�-(Signature) ate/T mem'-^"- ReceiygdLBy (Signature) !` AateM6 <br /> TURNAROUND TIME <br /> Relrrigwshe By Signature) Dat ime Ale/rvetl By Laboratory / � Dt Mme ❑p4 NR ❑48 HR 5-DAY ❑ 10 DAY <br /> DI&RIBUTION Original-Mcompanies Shipment Ganar/Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />