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� 7 W7 <br /> --,, t �� � � f, <br /> CHAIN OF CUSTODY RECORD Bill To4 �tr0 <br /> !? 0 �� x <br /> Sherwood 8071 N Lander Avenue <br /> P 0 Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phbne h <br /> C o R P o R A T 1 o N FAX (209) 667-2581 OWAJ r v V nk } I y Page of <br /> j Job Number Project Name F <br /> v <br /> Samplers (Signature) PO Number _ j�� <br /> SAMPLE DATE TIME SAMPLE SAMPLE INFORMATION O REMARKS <br /> NUMBER TYPE CNTRS SIL <br /> C f i rri /f �—r2) .4"1 �al f'1� � ✓ � <br /> AA <br /> , <br /> Relinquished,By (Signature) _ Date/Time J / �/ Rec?ived eye (Slignature/) J Date/Time Ship Via <br /> A �~����� 7116311- JVII-"!' Z— -//' u /'&,/ 7/'k7/q11/"' ,,,,I A <br /> Relinquished By(Signatore) DatefTime r- eceived By ($ignatutej <br /> TURNAROUND TIME Date <br /> ROn,quished By (Signature), batelTime Received By (Signature) Date Tlme 1' <br /> „! r I f •- j _ ` �, i ©24 HR Q 5 Day ❑10 Day <br /> s <br /> Dti$THIBUTION Original Accompanies Shipment 6anal Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />