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� i♦ I♦ � � � � i i i t� �� tltititittli �fi ta_ � � <br /> &AIN OF CUSTODY RECORD B1 0 SHERWOOD LABS <br /> P O BOX 937 <br /> ,t <br /> Sherwood $071 N Lamer Avenue HILMAR, CA 95324 P 0 Box 937 <br /> (� Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Phone 209-667-5258 Page T of L <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 <br /> Job Number PO N Project Name <br /> DAPPETRO A QC-, <br /> Samptem (Signature) Site Address <br /> 749 CHARTER WAY <br /> Q t� <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE ~ <br /> (IDENTIFICATION) (MTHlDAYlYR) (t EOURIhAIN) OF (GRAB OR CONTAINERS COM OSITE) MATRIX , � REMARKS <br /> f.-.7 1- 17BA, TAME, ETBE, MTBE, DIP <br /> rf�I t/^� f... �/ � � <br /> Vq <br /> I <br /> Rehnq shed By (Signature),' Date l mei/ j Received By (Signature/) � DatetTme TURNAROUND TIME <br /> Relinquished By (Signature) r DatelTrme ��ed By (Signature DatelTme 24 HOUR Ll <br /> f <br /> 48 HOUR ❑ <br /> i�elmquished By (Signature) D to line ecerved By (Signature) Date/Time 5 D Y�^'`� <br /> `rtteerot rrangements are made <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported u <br />