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'SHAIN OF CUSTODY RECORD Bill To <br /> Sh <br /> erwood Lander Avenue <br /> PO - <br /> PO Boo x 937 ° " <br /> &Nil <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C O R P O R A T I O N FAX (209) 667-2581 Page of <br /> Job Number PO # Project Name <br /> oWK0iliJA <br /> Smilers (Signatu ) <br /> Site Address <br /> s t� f-!uc)L� S; E <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE �, <br /> (IDENTIFICATION) {MTH/DAYlYR) (HDURlMIN) OF (GRAB OR �� .Z` Q <br /> CONTAINERS COMPOSITE) MATRIX 0 `Q `�/ REMARKS <br /> A50- 1 - r o' 913 <br /> -1 55 5- S& 0' 1 1 1 0s <br /> 5 - ' I <br /> 0 IzC- - <br /> 5DS -,G .0, <br /> Relinquished By (Signature) DaterTime Recew d By (Signature) Date/Time <br /> TURNAROUNDTIME <br /> Relinquished By {Signature) Daterrime Rorve By (Signature) i DatelTime 24 HOUR ❑ <br /> �l/ar m1710f �!�r� / .c.�. . F <ILL','% 48 HOUR C) <br /> hnquished By (Signatur ) Date/Time Received By ( ignature) Date/Time 5 DAY <br /> DISTRIBUTION Original-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />