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{ r I r I `' r r r r r i L r <br /> ,,°HAIN OF CUSTODY RECORD Bill To: SHERWOOD LABS- <br /> RO. BOX 937 <br /> Sherwood P.O. N. under Avenue HILMAR, CA 95324 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: Phone: <br /> 14 CORPORATION FAX (209) 667-2581 VICKI HUBiS 209-667-5258 Page of <br /> Job Number P.O.# Project Name <br /> f x 1 .: t71.. <br /> Samplers:(Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE P <br /> (IDENTIFICATION) (MTHiDAY/YR) (HOUR/MIN) CONTpAINERS COMPOSITE)RMATRIX REMARKS <br /> -K i%l4 r 4 0`3 `2 J J a J1 iezrab iv'a tn r c <br /> s <br /> F d^ <br /> 11 '20 <br /> d <br /> Relinquished By:(Signature) Daterl-ime Received By.(Signature) Datefr"me TURNAROUND TIME <br /> Relinquished By:(signature) Date/Time ,Received By:(Signature) Datefrime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) DaterTime CfS DAIS ❑ <br /> DISTRIBUTION: 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 />