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MWHAIN OF CUSTODY RECORD Bill To SHERWOOD LABS <br /> PO BOX 937 <br /> )l i Box 93 der Avenue H I LMAR, CA 95324 <br /> aneorwood PO <br /> U Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUI31S Phone 209-667-5258 Page of <br /> CORPORA T / ON FAX (209) 667-2581 <br /> Job Number PO # Project Name <br /> Samplers (Signature) Site Address �G3 <br /> Bert r1i a o te-91 t~ `J <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE ` <br /> (IDENTIFICATION) (MTI-VDAYNR) (HOURIMIN) COF (GRAB ONTAINERS COMPOSITE) MATRIX © <br /> ' { REMARKS <br /> I <br /> -0 <br /> ti <br /> I <br /> r <br /> Reltnq fished By (Signature DateTme Received By (Signature) DatelTime <br /> TURNAROUND TIME <br /> � � ��� t�'-ci C.� �-"�--J ��� ���'-�• f�` =-���T t`'�i�•- . �✓' a ��r„ �+f �d �9�s. -r <br /> e. <br /> Relinquished By (Signature) Date/Time I ecetved By (Signature) Datefrime 24 HOUR ❑ <br /> 3 <br /> <;' , § = } ' ` • 48 HOUR ❑ <br /> Relinquished By (Signature) DatelTme Received By (Signature) DateTme —5 DAY ❑ <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unress-other-arrangements-arei<de <br />