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AIN OF CUSTODY REC=ORD ""TO: . SHERWOOD LABS <br /> P.O. BOX 937 <br /> Sherwood Boli N. Lander Avenue HILMAR, CA 95324 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> [10SIlLabs (209) 667-5258 Attention: phone: <br /> C O R P O R A T 1 0 N FAX (209) 667-2581 VICKI HUBI5 209-667-5258 Page # of <br /> Job Number P.O.# g Project Name <br /> Samplers:(Signature) Site Address <br /> v <br /> SAMPLE LOCATION DATE TIME NUMBER ,TYPE SAMPLE <br /> {IDENTIFICATION} (MTMIDAYIYR) (HOUR/MIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX REMARKS <br /> t Le^ ; a 't a t e- ty i.. [ Y; .t � P.k s •..� - ;1 <br /> i f ; <br /> •tom <br /> t •( <br /> r,} <br /> `1 <br /> 14 00 I <br /> , Tt <br /> Relinqui§hed By:(Signature) Oate(fime . ; Received By:(Signature) Dalerf-ime <br /> TURNAROUND TIME <br /> '2" <br /> Rellnqulshed By:(Signature) DateMme Received By:(Signature) Daterl-ime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By:(Signature) Date/rime Received By:(Signature) Date/Time <br /> ❑ <br /> 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 />