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AIN OF CUS` ODY RECORD Bill To <br /> 11 e-F)z' <br /> 8Q71 N Lander Avenue <br /> O Box 937 <br /> Hilmar, California 95324 <br /> [�1 (209) 667-5258 Attention } Phone <br /> C o R P o R A T r o N FAX (209) 667-2581 ( f/.��> i% '' -=;' Page of <br /> Job Number Project Name <br /> / � / <br /> Samplers,k'Signatur PO Number h <br /> �f SAMPLE SAMPLE NO <br /> r� f i <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF REMARKS <br /> CNTRS l' 1 <br /> I � <br /> t <br /> Rehnqished Si e) Dat !Tim/e R��eived By (Signature) Datef ime Ship Via <br /> jbi <br />' Relingw ed By (Si re) r pat /Time ived By(Signdiure)/ y— ateArime <br /> TURNAROUND TIME Date <br /> Reb quished By (Signature) Date/Time Received By (Signature) 1 Date/Time ! <br /> 24 HR ❑/ <br /> ❑ 5 Day LJ 10 Day <br /> D RIBUTION Original 4 ompanies Shipment 6adry Copy Sherwood Pink Sampler 4 t NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />