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! • ' <br /> CHAIN OF CUSTODY RECORD SHERWOOD LAOS , <br /> P.O. BOX 937 N <br /> P.O <br /> P.O. <br /> x 937 cd$r Avenue <br /> Shwwood NII_MAR, CA 55324 <br /> Hilmar Calitomia 95324 ' <br /> kLabo (209)667-5258 " :VICKI HUBIS Ph"209-667-5258 Page of CORFORATION N FAX(209) 667-2581 `. <br /> Jab Number P.O.M P+alect Warne k� <br /> OLIVAREZ PROPERTY <br /> i 5arrtplers:(SiQnehne) 5Na Adonsas GJ 4 � � <br /> -a <br /> ?�v Tj <br /> SAMPLE LOCATION DATE TWE NUMBER SAMPLETY(cAAPE PE <br /> {l0ENT1FICAT1pN� (f�itUDAYlYR) [HOUii)lyllN) CONTAINERS CDMPOSM OF MATRIX REMARKS <br /> Or gate <br /> x <br /> r IU <br /> r <br /> ✓w" <br /> ✓ w r <br /> r V >9 <br /> r low <br /> of <br /> - � <br /> ru <br /> A <br /> dl <br /> W <br /> reunqne6y.t5oaneQaeTime 3Y. uamiime TURNAROMNOPME � <br /> w je a W15 Ad, <br /> Ae ear,:(signature) 00611e i Y(signature) 24 HOUR ❑ <br /> 3/ 48 HOUR LlN <br /> ey:(Signature) oats ;red sr(Signature) abY me �Y <br /> ;;days ager resole are reported wrdeas athpr exangcmants are meds <br /> DISTI4lijur OM orWnal-Accompanies Shipment Canary Copy:Sherwood Ptr*Copy:San+pler woTE:Samples are discarded <br />