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AIN OF CUSTODY RECORD 'r7 <br /> S .3*�Sherwood 8071 N Lander Avenue d T� �� <br /> ]l P 0 Box 937 <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention T Phone J �, Pae Of 1— ~ <br /> C 0 R P O R a`fir r 0 N FAX (209) 667-2581 `/ ��� �' S'�3 z <br /> � 1 <br /> Job Number PO # ' Project Name <br /> Sam (Sig ure} Site Address <br /> Pv <br /> SAMPLE NO <br /> DATE TIME SAMPLE SAMPLE INFORMATION OF REMARKS <br /> NUMBER TYPE MRS <br /> j <br /> i <br /> q ' <br /> r <br /> I # <br /> Rehn hed {Si } Date/Time R ived B {Sig Lure Dat /Tl a Ship Via <br /> � 3'o�P <br /> elinquished By 5 re) atelTrme y (signature ate ime i <br /> TURNAROUND TIME <br /> Re wshe y {Sign ,ure) Dat im , erved B Laboratory t `h Date{T2 r ❑2 L�{R ❑48 HR DAY ❑10 RAY I <br /> X �D C �t jJ ' <br /> TRIBUTION Onginal companies Shipment ana Copy Sherwood Pink Sampl r NOTE Samples are discarded 3l}days after results are reported unless other arrangements are made <br />