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HAIN OF CUSTODY RECORD Bill To: SHERWOOD LABS <br /> P.O. BOX 937 <br /> Sherwood 8071 N. Lander Avenue HILMAR, CA 95324 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention:VICKI HUBIS Phone:209-667-52581 Page Of <br /> C O R P O R A T I O N FAX (209) 667-2581 <br /> Job Number P.O.ft Project Name ; <br /> Samplers:(Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE P r <br /> (IDENTIFICATION) (MTH/DAYIYR) (HOUR/MIN) 0 F (GRAB OR <br /> CON ANERS COMPOSIITE} MATRIX ! ,� r� REMARKS <br /> I <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) Date/Time <br /> TURNAROUNDTIME <br /> J� '� i� ! �,�!'U �• /~ t, �•LC�f 1 i''-tt�'J� - •:te``-�-�''r�(/- .�/;J G� !, �G�] <br /> Relinquished By:(Signature) DateTme Received By:(Signature) cfatwtirrie 24 HOUR ❑ <br /> yam_ 48 HOUR ❑ <br /> Relinquished By:(Signature) DW/Time Received By:(Signature) DateTme 5jAY ❑ <br /> �, �1 , ( <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 />