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*CHAIN OF CUSTODY RECORD BsllTo <br /> Sy�1Or- tc <br /> 3071 N Lander Avenue �' /G <br /> wood PO Bax 937 �l,l C <br />' Hilmar CaliforniaLabs 95324 <br /> (2Q9} 667-5258 <br /> C O R P O R A T 1 0 N FAX (209) 667-25$1 1 <br /> Attention c P ) <br /> Page—Z of <br /> Job Number PO a Protect Name <br /> !h ` <br /> Samplers (Signature) <br /> Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE �� �� (S m pp/ <br /> (IDENTIFICATION) (MTFVDAY/YR) (HOUR/MIN) OF (GRAB OR SAMPLE �� Q,Z, <br /> i CONTAINERS COMPOSITE) MATRIX �'� �Q ��, <br /> /,4q-7 <br /> 7 I REMARKS <br /> �(-r2b <br /> d 1cSc� e- <br /> / OR T <br /> i (,L-P <br />�t <br />� t <br /> i � <br /> I� <br /> Relinquished By Signature) Datemme <br /> i7 Re Y(Sig e) DatelTime <br /> 2all ._ ,0 9/I5/q7 TURNAROUNDTIME <br /> Relinquished 13y (Signature) Oate/Fime <br />{ Received By ( nal Datemme 24 HOUR ❑ <br /> Relinquished By (Signature) Daterrime48 HOUR C1Received By (Signature) Date�me <br /> 5 DAYA <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood pink Copy Sampler <br /> NOTE Samples are discarded 30 days atter results are reported unless other arrangements are made <br />