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7�0�'Q3 <br /> J <br /> 41RAIN OF CUSTODY RECORD B,IIT° ���, ,,� <br /> Pie 4r <br /> Sherwood 8071 N Lander Avenue s <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 �� _��y Page of z <br /> i <br /> Job Number PO q Project Name <br /> S piers (Signature) Site Address <br /> - 75195� <br /> SAMPLE LOCAT DATE TIME NUMBER TYPE SAMPLE �,} �� ��y�o�� <br /> (IDENTIFICATION) (MTH/DAYIYR) (HOUR/MIN) OF (GRAB OR �O� <br /> CONTAINERS COMPOSITE) MATRIX Q �� �� REMARKS <br /> 3 I w IJ ,l <br /> =a 1 <br /> p , y d J <br /> D F ice. <br /> 30 <br /> i <br /> �pinquished By (Signature) DateMme /0 S S Receive By (Signature) Datefiime 4 <br /> 1 <br /> TURNAR UND TIME <br /> _..__. <br /> C/�/ /��/z <br /> Relin u,shed By (Signature) Date/Time Received By (Signature) DateTme 24 HOUR ❑ I <br /> 4 <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) Date/Time Received By (Signature) DateMme DAY ❑ <br /> t <br />