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*HAIN OF CUSTODY RECORD BUITo <br /> )� Sherwood PO 1Box 937 Lander Avenue 9Ss� <br /> ■ Hilmar, California 95324 <br /> Labs (209) 667-5258 AttanlFan Phon <br /> C O R P O R A T I O N FAX (209) 667-2581 Page —L of <br /> Job Number PO # Protect Name <br /> Samplers {Signa re) Site Address C6�� <br /> 1 h <br /> �, <br /> SAMPLE LOCATIONDATE TIME NUMBER TYPE SAMPLE } 'TX41 �\ <br /> (IDENTIFICATION) (MTW/DAY/YR) (HOUR/MIN) OF (GRAB OR t� �� Q� <br /> CONTAINERS COMPOSITE) MATRIX � � Ae ��/ REMARKS <br /> V1 V1 I I A <br /> f — <br /> I b V <br /> f <br /> C(o <br /> f <br /> r <br /> f <br /> f <br /> I <br /> s <br /> Relinquished By (Si atur Date/Time Received By (Signature) Date/Time <br /> � <br /> { TURNAROUND TIME <br /> / ,�,.-, j/, ��4 .s 3;ISP. <br /> Relinquished by (Signature) Dafegtrne 771�v, <br /> ed By (Signature) Date ime 24 HOUR ❑ <br /> r I 48 HOUR ❑ <br /> � / <br /> I <br /> Rellfriquished By (Signature) DateiTime Received y (signature) Date/Time 5 DAY [( <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 />