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AAIN OF CUSTODY RECORD7q-77 76a P? - 0 0 3 Ah <br /> II To ,r <br /> Sherwood 8071 N Lander Avenge <br /> P O Box 937 ���'^ <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone��7 f�� Page 1 of <br /> C O R P O R A T 1 0 IV FAX (209) 667-2581 <br /> Job Number PO # Protect Name <br /> r <br /> Samplers Signature) Site Address <br /> NUMBER TYPEOIz <br /> c <br /> SAMPLE LOCATI DATE TIME SAMPLE 4r/ <br /> (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) OF (GRAB IT MATRIX �� Q� ��� REMARKS <br /> CONTAINERS COMPOSITE} co t1` /� � O <br /> 1 o ag e�g 53 �- ✓ .i ,. <br /> Z 3.r <br /> 91 A2 <br /> 3 za ,+. J sI ✓ <br /> z ,� ,� ✓ <br /> r <br /> Imo _ <br /> n. >✓ J <br /> Relinquished By (Signature) Date/Time Received,Sy (Signature) /' DateRme j f l <br /> �. V TURNAROUND TIME <br /> Relinquished By (Signature) Date/Time Received By (Signature) Date/Time 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) Dale/Time Received By (Signature) Date/Time <br /> DISTRIBUTION Original Accompanws Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />