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Bill OF CUSTODY RECORD <br /> a 9 Ve to n-r E & v <br /> Sherwood 8071 N. Lander Avenue PO)) 95-35-6 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> .abs (209) 667-5258 Attention Phone: <br /> C O R P O R A T I O N FAX (209) 667-2581 S�/E t� x(07 p Zg Page of <br /> Job Number T <br /> N Pro'ect Name <br /> `FiQ Lk CU�ooDl�/�lLD �1 <br /> Samplers:(Si ature Site Address <br /> �cl�dbd L� s•—� I t(J��. �o�ou W�kR-d�SV� ��(A (t� ��Qv ��ry`�L�1��o <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLECa <br /> �,} <v y.r <br /> (IDENTIFICATION) (MTWDAYNR) (HOURIMIN) OF (GRAB OR MATRIX � '�� Qq <br /> CONTAINERS COMPOSITE) co' tl` REMARKS <br /> MW- ( I6•S 03 I-7 Z 61U13 ,50/(- <br /> qll / 6AA8 So L- <br /> 0A W- '--SVS' ()311-1100 �Z 3 <br /> Relinquished By:(Signature) Date/Time R ived By:(Signature) DateTme TURNAROUND TIME <br /> Relinquished By:(Signature) Datemme 6ce IVY <br /> By:(Signature) DateTme 24 HOUR ❑ <br /> Z/,. "A06'4"A06'4> 71603 / /.SSD )& /7 / 48 HOUR ❑ <br /> elinquished By:(Signature) Date/Time Received By:(Signature) DateTme 5 DAY <br /> 129 <br /> DISTRIBUTION: Original-Accornpanles Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangerneroa are made. <br />