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MAIN OF CUSTODY RECORD ill To: <br /> PO BOIL 9 3 <br /> AL- ® 8071 N. Lander Avenue H T 1;�A.R£ i_, , 9-5 3 24 <br /> O"erwP.O. Box 937 <br /> Hilmar, California 95324 <br /> albs (209) 667-5258 Attention: . . Phone: <br /> C O R P o R A T ! O N FAX (209) 667-2581 V I CIKI ��B.el b" Page of <br /> Job Number: P.O.# Project Name <br /> Samplers:(Signature) Site Address ��\� • <br /> Q <br /> SAMPLE SAMPLE f •DATE TIME SAMPLE INFORMATION o�� REMARKS <br /> NUMBER TYPE `y�<:•' <br /> L CNTRS <br /> V,V11 -.5 013 <br /> ice" K <br /> N 1-- 0 <br /> 1 r <br /> NW-3 112 7 <br /> Relinquished By:(Signature) Date/Time Received Bya(Signature) Data/Time a%, Ship Via: <br /> :u%t 't-! Jr= --i• Y <br /> Relinquished By;(Signature) Date/Timet Rec�ived By:.(Signature) DatefTime <br /> TURNAROUND OUND TIME: <br /> Relinquished By:(Signature) Datemme Recei ed By Laboratory DatefTime ❑24-HR ❑48-HR � "5-DAY ❑ 10 DAY <br /> DISTRIBUTION:Original-Accompanies Shipment: Canary Copy-Sherwood Pink-Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />