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�� (f,, D4 1 �ob 3 * Bill To <br /> '41HAIN OF CUSTODY RECORD <br /> R'biea�$rt3 <br /> Sherwood 80 N Lander Avenue <br /> ,[ P O,, Box 937 Z-016 &A25i Cd 2402-51 <br /> U Hilmar, California 95324 a <br /> Labs (209) 667-5258 Ane on page of <br /> C O R P O R A T l O N FAX(209)667-2581 � 2- <br /> Job Number Project Name <br /> Samplers (Sig re ��� , �/ � ! ��� •` <br /> SAMPLE SAMPLE NO -�- <br /> NUMBER DATE TYPE APE SAMPLE INFORMATION OF � REMARKS <br /> CNTRS <br /> i <br /> h <br /> t <br /> 1996 <br /> a u ed By ignatu Dat ame R ry B rgnatur ) Date/Time Ship Via <br /> rs <br /> F6 Date/Time nature) Datemme f!G 6 <br /> LKS TURNAROUND TIME Date <br /> Rtilt q By (Stgnatu - <br /> Date(r e y S nature) Dat ime <br /> YZ <br /> 9 /01L} 0 24 HR 5 Day ❑10 Day <br /> TRIBUTION Ongina Accompanies Shipment nary Copy Sherwood Pink Sampler 1 NOTE Samples are discarded 0 days atter results are reported unless other arrangements are made <br />