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.�� �. sew. tt� tam tttttttttt� � ! !• � � � � � � � <br /> CHAIN OF CUSTODY RECORD Bill To <br /> *Sherwood 8071 NLander Avenue <br /> P O Box 937I&iyll <br /> � <br /> Labs <br /> Hilmar California 95324 <br /> (209) 667-5258 Attentio p <br /> C 0 R P 0 R A T r 0 N FAX (209)667.2581 age of <br /> N <br /> Joh Number PO 1 pact N,g/me _ Ul <br /> J <br /> T <br /> Samplers (Signature) Site Address <br /> SAMPLE SAMPLE NO - <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF REMARKS o <br /> CNTRS <br /> 2 <br /> 0-2-VIoI? e A <br /> z <br /> r- <br /> r <br /> 5 d � <br /> P <br /> G <br /> co <br /> J <br /> W <br /> Lr! <br /> til <br /> Ul <br /> P <br /> R By (Signature) D telTime Received By (Signature) Oate/irme Ship Via <br /> Relinquished By (Signature) paternme Received By(Signat.ire) OatafT me y <br /> � 3� 7 - TURNAROUND TIME <br /> Relinquished By (Signature) Date/Time Recervad Ry Laboratory Date/Time U 244iR 0 48_NR AAY ❑40 DAY <br /> W <br /> DISTRIBUTION Original Accampanles Shipment Canary Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days atter mutts are reported unless other arrangements are made <br />