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� 3! 1 NOWT o �o <br /> *HAIN OF CUSTODY RECORD 6 Bill To A ,� <br /> �l> S 78 3-1 <br /> Sherwood P01 ox 937 er Avenue fr?4 1 A q!�-3 5- <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention+-r Phone <br /> C O R P O R A T I O N FAX (209) 667-2581 z Page / of <br /> Job Number ' PO # Prot ct Name <br /> I19 <br /> Sam leis (Siggalure) Site Address O~ <br /> SA� PLE LOCATION DTE TIME ONUMBER (GRAB <br /> SAMPLE <br /> (IDENTIFICATION) (MTHIDAYIYR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX 4� � �Q� �� REMARKS <br /> / p /5- .i <br /> w -A0 /00 M <br /> ,.-), / s i <br /> loe <br /> rrl <br /> 02'5a 1 1f i <br /> Relinquished By (Signature) Daternme Rec ved,By/(Signature) Date/Time TURNAROUNDTIME <br /> 7zG�aU 8'yvA l�, �at 7 oa ; a <br /> Relinquished By (Signature) Dale/Time eceived y (Signature) jr Date/time 24 HOUR ❑ <br /> /,Ac 7-a600 9: 7 48 HOUR ❑ <br /> inquished By (Signature) Date/Time Received By (Signature) DatefTime Q-5DAY <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />