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rµ '7%v� Bill To <br /> (GAIN OF CUSTODY RECOR'D7-v'/T1162 <br /> Sherwood P 01 Box 93der Avenue <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 +t r'(✓ S tri) — _ r Z Page of TL <br /> Job Number PO # Protect Name r°pQ Q�7y U f tiJ� <br /> Samplers (Signature) Site Address <br /> ` <br /> SAMPLE No <br /> DATE TIME SAMPLE SAMPLE INFORMATION OF (�� REMARKS <br /> NUMBER TYPE CNTRS t <br /> g nm - r o to 'fo <br /> /f J <br /> C t A, �/Ag Ain, &hh1-c <br /> M _ <br /> Relinquished By (Signature) DatelTim Fie ived y (Si nature) Daaff Ship Via <br /> �7, ; 9 <br /> Relinquished By (Si re)-- a ure ate ime <br /> TURNAROUND TIME <br /> R i ushe y (S nature) Dat rTim R��ec�Krved By Labor ory Date/Time C324-HR ❑48-HR LJ5-DAY ❑ 10-DAY <br /> `!�a� is'3� �/G�u v-q 1,9 0";I_. <br /> D TRIBUTION Original Accdmpanies Shipment danaCopy Sherwood Pink Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />