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f(' {U4-46)U <br /> CHAIN OF CUSTODY RECORD Bill To: �L , <br /> b G r <br /> Sherwood 8071 N. Lander Avenue �U l C,4 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: <br /> C 0 R P 0 R A T 1 O N FAX (209) 667-2581 Page of <br /> Job Number: P.O.# Project Name <br /> SS IE <br /> Samplers:(Signature) Site Address <br /> 4cto 0 t--- L tep P40, `,P`' 0 <br /> SAMPLE SAMPLE NO. <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATIONC ORS 0 REMARKS <br /> x Foe. La ) -TV-an C' <br /> PCArpoSeS - PIPa <br /> c a' =. <br /> kH a D' <br /> a c a ' <br /> clot <br /> � PB3 cs� <br /> - <br /> Pe c <br /> R uishe y:(Si us Date im R eived B :(Signature) Date/Time S Via: <br /> w11,07 7 2'{ <br /> Relinquished a e) D teMme Aeceived 8: atehime <br /> TURNAROUND TIME: <br /> Belirkquish By:(Signature Datem e. --- - eived By Laboratory ayprTi 24-HR 0 48-HR 0 5-DAY ❑10 DAY <br /> ,� TP. 1 1 . <br /> PISTRIBUTiON:Original-A&ompanies Shipment: dana6 Copy-,Sherwood Oink-Sampl NOTE:Samples are discar ed 30 days atter results are reported unless other arrangements are made. <br />