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AA R® -. _ .`` Bi" D LABS <br /> I- IN OF CUSTODY RECOAD SHERWOO <br /> P.O. BOX 937 <br /> a,�1@e woo 8071 N. Lander Avent�e P.O. BOC 937 HILMAR, CA 95324 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention:VICKI HUBIS Phone:209-667-5258 Page of i <br /> 10 C O R P O R A T I O N FAX (209) 667-2581 <br /> Job Number P.O.# Project Name <br /> Samplers:(Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> IDENTIFICATION) (MTHIDAYlYR) (HOURIMIN) OF (GRAB OR MATRIX ,"� �' REMARKS <br /> CONTAINERS COMPOSITE) <br /> 4; a }2? <br /> as - 1201 6 <br /> eiT 13115 <br /> VI.,., 4 3347 R <br /> t <br /> }. <br /> a"1i�a•—�k � <br /> 1432 k <br /> — 411 <br /> Relinquished By:(Signature) DatefFina Received By:(Signature) DaterTma TURNAROUND TIME <br /> OaterTime <br /> Relinquished,By:(Signature) Date/Time Received By:(Signature) 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished Sy:(Signature) DateMme Received By:(Signature) Daterrime 5 DAY ❑ <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days atter results are reported unless other arrangements are made. <br />