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CHAIN OF CUSTODY RECORD C <br /> Bill TO: <br /> y,. AW, <br /> Sherwood 8071 N. Lander Avenue <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labs ' (209) 667-5258 Attention. 1 P , age of <br /> C O R P O R A T I O N FAX (209) 667-2581 5 `� <br /> a <br /> Job Number P.O.k Protect Name <br /> max,., <br /> - <br /> Samplers:(Signature) Site Address <br /> NUMBER TYPE <br /> SAMPLE LOCATION DATE TIME SAMPLE <br /> (IDENTIFICATION) (MTH/DAYNR) (HOURIMIN) OF (GRAB MATRIX , <br /> CONTAINERS 'COMPOSITE) �' REMARKS <br /> L✓ <br /> mU] - <br /> �1 — � <br /> Relinquished By:(Signature) Daterrime Received By:(Signature) Daterrime TURNAROUND TIME <br /> gIIS h7 c <br /> Relinquish d By:(Signature) DatefTime Received By:(Signature) Date/Time 24 HOUR <br /> 48 HOUR <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) Date l ime 5 DAY X <br /> DISTRIBUTION: Original-Aocompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />