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CHAIN OF CUSTODY RECORD ""Ta SHERWOOD LABS <br /> P,O BOX 937 <br /> 8071 N Lander Avenue <br /> ShogwoodPO Bax 937 HILMAR, CA 95324 <br /> Hilmar, Caldornla 95324 <br /> Labs (209) 667-5258 <br /> 14JIC OR POP AT ION FAX(209)667-2581 MentonSTEPHANI ROSSOW R1ne209.667-5258 Page,&of <br /> Job Number PQ ie Prole t <br /> TaoieXi/ <br /> Sempters (Signature) 5rte Address ��? <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTINCATION) tWTRA AYiYR) {HOURIMIN) OF (GRAB OR <br /> CONMNEAS COMPOSMG) MAT <br /> RIK REMARKS <br /> F <br /> q9 n� rnotG- <br /> z <br /> Relinquished By (S,gnature) f}dbBMrne Received By [Srgnatura) Date Tine <br /> Tl1RNAR0UND-9 <br /> Ail 5/99 lax <br /> Rehnituish dey iSIgnarune) DaterTrme Remm*r fly (s atu•e) bat +tee 24 HOUR <br /> 48 HOUR ❑ <br /> RelmQuahed By-(Signtture) DalelTime Reoawed By (Signature) DaterTrme rj DAY4 <br /> DIST10ON Qdginal Accompanies S�3pmenl Canary CM SherrroW Pink Copy Sampler a WrE Samples a,P drstarWd 30 days after resuas are mporma unless other a"&Is are made <br />