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CHAIN OF CUSTODY RECORD BiIITe f)L-:-L --TEC-0 <br /> I LYa2 OLIvE Au <br /> Sherwood 8071 N Lander Avenue CO3K LF— 0A (1; (} , <br /> P O Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention ` � �,��7�� Phone�^,J_ �,��J7 Page � of ..2._ <br /> C O R P O R A T I O N FAX (209) 667-2581 ~Y <br /> Job Number Pr ct Name <br /> `DerVl (.'e- <br /> Samplers (Signature) PO Numoer <br /> =NJ IAC a)A '�--AL- C-, I _t_ <br /> v' <br /> NO <br /> SAMPLE DATE TIME SAMPLE SAMPLE INFORMATION O REMARKS <br /> NUMBER TYPE CNTAS <br /> 41 <br /> 0 75 1 L <br /> l C171� <br /> (r1 -61-5 lU i <br /> ("VV-1 I C' I1` 1022 <br /> MW -2- CL'�tL� ^) lL <br /> 1448 <br /> -2 t-5-71--XIS cct <br /> 08 R <br /> Relinquished By (Sig re) Date/Time Received By (Signature) Date/Time Shop Via <br /> u_ 5 4.5 Lt.,P S <br /> Relinquished By (Signature) Date/Tome Received By (Signature) Datefrome <br /> TURNAROUND TIMEQ�,41SolV <br /> _C t Date 1 <br /> Relinquished By (Signature) Date/Time Re ce� By (Slg re Da effi e T26T 030 ❑24HR ❑5Day10 Day <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Sampler NOTE S mples are discarded 30 days after results are reported unless other arrangements are made <br />