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r �r r ■r r r r r � <br /> HA►IN OF CUSTODY RECORD � BillTo SHERWOOD LABS <br /> P O BOX 937 <br /> 1 ox 937 er Avent�e HiLMAR, CA 95324 <br /> Sherwood P 0 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C O R P 0 R A T 1 0 N FAX (209) 667-2581 VICKI HUBES 209-667-5258 Page of d° <br /> Job Number PO # Project Mame <br /> r+rx3 <br /> Samplers (Signature) Site <br /> �Qy � <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTHIDAY/YR) (HOURIMlN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX }N REMARKS <br /> r 2 [ <br /> i! <br /> j e ! <br /> Relinquished By (Signature) Datefrime r4 1 ' Received By (Signature) DatefTitne <br /> TURNAROUND TIME <br /> Relinquished By (Signature) Date/Ttme Received By (Signature) Date/Time 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) Date/Time Received By (Signature) DaleMme r'5YDAY Qi~ <br /> DISTRIBUTION Ongmal-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />