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r7„ �' .. r—T ( � Wit", r7"1, �' �'�" �`..' '�"'� * rr l.7 x""-70 <br /> 7/n 4C5 <br /> HAN:OF CUSTODY RECORD <br /> 8071 N. Lander Avenge <br /> � �� � " P.O. Box 937 <br /> F�li mr ,Lr,.California 95324 <br /> 3 IJ <br /> i ' 6b (209's67 5258 Attention: P� <br /> C Q:R P­0: R :A,`T 1 O.'N FAX (2,09).667-2581, :; moi-+r.k�d r �G 9 4 . .3a9Q; _of <br /> Job Number PO it Project Name <br /> Samplers_(Signature) 4 Site Address � p� ��� O� ; <br /> p fro. <br /> 413 Z. <br /> 0 <br /> NUMBER TYPfc <br /> SAMPLE:E:OCATION DATE TIME SbMPLI <br /> (IDENTIFlCATION)' (THIDAYNR): (HOUR/MINj OF (GRA60Fi <br /> CONTAINERS COMPOSITTE) REMARKS . <br /> D G1r.TP,- .f <br /> . X <br /> , <br /> '2t` <br /> LF <br /> Relinquished By (Signature) Date/Time, Received by:.(Signature) Datenine <br /> TURNAROUND TIME <br /> RelinquisFi y:(Sign tore) DateTime Ree ived By:(Signature) .' Date�nie 24'HOUR Q <br /> 10 VO� <br /> Ta ��� 48 HOUR <br /> Relinquished By:(Signa .)- 'Date/me FAeceiv By:(Signawr6i '� jIffateMme <br /> �` 5 DAY <br /> ISTRIBUTION: 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 />