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�. wmm� ! ! ! ! <br /> *HAIN OF CUSTODY RECORD a{ti To 't e - - <br /> Sherwood 8071 N Lander Avenue <br /> P O Box 937 CI&iY,l <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone _ <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 , 5 3 7-o,, Page of <br /> Job Number P ff Protect Name b 1 <br /> Sam s {Signature) - Site Address <br /> � N h <br /> SAMPLE LOCATION D NUMBER TYPE O 61 <br /> / {IDENTIFICATION} (MTH dA E R) {HOl1R/M1N) OF (GRAB OR SAMPLE <br /> X �� �Q� <br /> CONTAINERS COMPOSITE) � REMARKS <br /> 1.41 M t.J- ;o ✓ <br /> C sS ✓ d � <br /> 5 <br /> Relinquished By (Srgnat ) Date/Time Received By (Signature) DatelTime <br /> �/ -- TURNAROUND TIME <br /> h ingwshed By (Signature) DAteffitne R ceive B�,Signatureji Da e/Tim 24 HOUR Ll</'so PI � 1-a-� Y �� !� 1 48 HOUR ❑ <br /> t hngwshed By (Signature) Datefri e Received By (Signature) D te/Time 5 DAY 12— <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />