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-70 A <br /> A <br /> AIN OF CUSTODY RECORD Bill 7,;�O <br /> 1 <br /> Ane <br /> 5 7835 <br /> Sherwood 8071 N Lander Avenue <br /> �( P O Box 937 <br /> (, Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention % Phone <br /> C O R P O R A T I O N FAX (209) 667-2581 _ �;Z- Page_L of _ <br /> Job Number PO # Protect Name <br /> /C6 O DG SV] <br /> Samplers (Sig�n�atyre) Site Address <br /> SA LE LOCAT N DATE TIME NUMBER TYPE SAMPLE <br /> NTIFICATION) (MTHIDAY/YR) (HOURIMIN) OF (GRAB OR MATRIX Q� � REMARKS i <br /> CONTAINERS COMPOSITE) Q� .�` ,L O <br /> 3n r' ✓ / Y 3 i <br /> D b c. J • <br /> - 01 <br /> Z 3© ✓ J <br /> V1 I <br /> a *� <br /> ao J <br /> 9 J <br /> z <br /> Q a c++Air- <br /> /Z <br /> J J <br /> �1 <br /> 3 <br /> t <br /> Relinquished By {Signature) Date/Time Received By (Signature) Date/Time l TURNAROUND TIME <br /> Relinquished'By (Signature) U Datefl-ime eceive y ignature) atemme 24 HOUR ❑ <br /> !/. <br /> /Z q oz /aev ! O7- r2.00 48 HOUR ❑ <br /> R squished By (signature) Date/Time R ived By (Signature) a /Time rj DAY ®—` <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 /> I <br />