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r <br /> I Bill To: <br /> CHAIN OF CUSTODY RECORD 1 <br /> Sherwood 8071 N. Lander Avenue I P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention i Phone: <br /> C 0 R P 0 R A r r 0 N FAX (209) 667-2581 ? . L r( Page 2 of <br /> i � <br /> Job Number: P.O.# Project Name <br /> ULT SiU <br /> Samplers:(Signature) Site Address �� 4 <br /> SAMPLE SAMPLE N0. P REMARKS <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION CNOF TRS <br /> Relinquished By:(Signature)-- Date/Time Received By:($ignature) Date/time Ship Via: <br /> RelinquishleO By Date/Time Recurved By:(Signature) Date/time <br /> I </'x- li7 1 �i a ' i (,i= /. / TURNAROUND TIME: <br /> Relinquished By:(Signature) date/time Received BAaboratory Datelrime' <br /> ❑24-HR ❑48-HR N,5-DAY ❑ 10-DAY <br /> DISTRIBUTION:Original-Accompanies Shipment: Canary Copy-Sherwood Pink-Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />