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Ml M M M M MM <br /> s <br /> \*AIN OF CUSTODY RECORD iIITo W <br /> 1�19e> i 5 <br /> Sherwood P01Box 93 Lander Avenue C'A 3 S <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention �� Phone Z-/4 4 7Page of <br /> C O R P O R A T I O N FAX (209) 667-2581 --� S <br /> Job Number PC # Prof ct Name., ace <br /> o � <br /> Samp{e (s na_e) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE } <br /> OF (GRAS OR Q� � <br /> (IDENTIFICATION) (MTHlDAYIYR) (HOURIMIN) CONTAINERS COMPOSITE) MATRIX ,� ,� D REMARKS <br /> L/I I <br /> 610Mw - <br /> OAA <br /> V / <br /> V <br /> .5.5 "' ,/ J <br /> Relinquished By (Signature) Datefrime Received By (Signature) Dale/Time TURNAROUND TIME <br /> Relinquished By (Signature) ate meFOceive By (Signature) DIte/Timij 24 HOUR ❑ <br /> J&DP `/�/ ,35 48 HOUR L11 <br /> Relcnquished By {Signature) Date/Time R c ved By (Sig ire) Dateliim 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 />