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�-*�;HAI N OF CUSTODY RECORD Bill To: moo_pNASE �`,•2oR/�tf ,c%. <br /> Sherwood 8071 N. Lander Avenue �(,�S r, cA 4'S� <br /> ,l P.O. Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention <br /> CORPORATION FAX(209) 667-2581 v Page–Z—of <br /> Job Number Project Name7�-O-* <br /> Samplers:(Signature) Site Address <br /> I&P AIRD L . DAVJ5N 05 . Woo 1> MWTUI <br /> SAMPLE LOCATION. DATE I OF (GRAB OR TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTWDAYNR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX '�� Q� w <br /> �' � � � REMARKS <br /> 513- t3 Ov <br /> s3- 13 15-- o1 9y o <br /> 519 - 131/9-Zi ' S d/ IeO2 <br /> 56-1y� - .I I o os o! Ao& 1 <br /> Sri-I )3 b o -S <br /> S -n : <br /> S - 13 7- o OSp /dZO O, <br /> 58-14 /3' o //30 / Xi <br /> 5-8-,!4 /7' {' v 7VJsv 1 /,(50 <br /> Relinquished By:(Si nature) DateTme 5/7l0?3` Rec 'wed By:(Signature) Date/Time TURNAROUND TIME <br /> Relin uish9eddBBy:(Signature) DateTme eceived y:(Signature) Date/Time 24 HOUR ❑ <br /> v r �'O G o/ /a3o l S � (o p /f•'3O 48 HOUR ❑ <br /> Relinquished By:(Signature) Dat me Received By:(Signature) Date/Time 5 DAY ❑ <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 />