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4PHAIN OF CUSTODY RECORD Bill To SHERWOOD LABS <br /> P O BOX 937 <br /> Sherwood 8071 N Lander Avenue HILMAR, CA 95324 <br /> PO Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention STEPHANI ROSSOW Phone - <br /> C O R R O R A T I O N FAX (209) 667-2581 209 667-5258 Page of <br /> Job Number —r67— Protect Narrte <br /> Samplers (Signature) Site Adds v� <br /> Q' <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE r \ <br /> (IDENTIFICATION) (MTH/DAY/YR) (HOUR/MIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX REMARKS <br /> MW 4-[b Oz 1 1 1 L <br /> 1OFF, <br /> " 2S 1 Uj 1 1 1 1 111 -T <br /> 04 <br /> cj Q4Q GGtmC <br /> IL <br /> �'� ctLd frm-r - <br /> Y � S1 <br /> Relinquished By (Signature) Dale/Time Received By (Signature) Date/Time <br /> TURNAROUND TIME <br /> Relmqurshe By (Signature) Datefrime Received By (Srgrnature) Daterrime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) Date/Time d By (Si u ) Date me <br /> / r <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days After results are tLported unless other arrangements are made <br />