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RAIN OF CUSTODY RECORD IRTO SHERWOOD LABS <br /> P O BOX 937 ` <br /> Sherwood 8071 N Lander Avenue HILMAR, CA 95324 <br /> P O Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Phone 209-667-5258 Page of <br /> C O R P O R A T 1 O N FAX (209) 667-2581 <br /> Job Number PO # 1 Pmlect Name <br /> Vogge Clganersc <br /> Samplers (Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> OF (GRAB OR <br /> (IDENTIFICATION) (MTH/OAYIYR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX , REMARKS <br /> [+1W-9 1455 2 cirab watar t! ✓ '� <br /> MW-2S ✓ <br /> mw-2p 1 "13 7 <br /> MW-3S- <br /> MW-3S ✓ ,r ✓ <br /> PIW- D <br /> MW-4S 1420v <br /> MW-4D <br /> M —5D <br /> Relmgws ed By (Signature) ;L; <br /> R y (Signatu, Dat rme TURNAROUND TIME <br /> s 6� r�� Z//U L( r.2� <br /> r <br /> Relinquished By (Signature) RDateme Receivbd By (Signature) 1 DateMme 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Relinquished By (Signature) DateMme Received By (Signature) DateiTime 5 DAY <br /> DISTRIBUTION Ongmal Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />