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• ..z s � , w � _1 <br /> CHAIN OF CUSTODY RECORD ddlTo _ <br /> Sherwood 8071 N Lander Avenue <br /> P 0 Box 937 <br /> iLabs <br /> Hilmar, California 95324 <br /> (209) 667-5258 Attention Phone <br /> C 0 R P 0 R A T r 0 N FAX (209) 667-2581 Tpage of <br /> Job Number Protect Name <br /> —T <br /> tr oS 1 rAP` C 41 �7rr4 t-44 <br /> Samplers (Signature) <br /> SAMPLE SAMPLE NO <br /> NUMBER DATE low TYPE SAMPLE INFORMATION OF REMARKS <br /> CNTRS e,1 <br /> w t t=2 <br /> 3- 7 X x <br /> 0 N • 1M y 1r r 7 <br /> CIA 23 <br /> wt t,J -5 <br /> I <br /> Relinquished By (Signature) Date/Time Received 8 (Signature) Date/Time Ship Via <br /> R j /7 4 <br /> Relinquished By (Signature) Dale/Time eceived By (Signature Date/Time <br /> TURNAROUND TIME Date <br /> Relinquished By (Signature) Date/Time Received By (Signature) Date/Time <br /> ' U 24 HR J 5 Day 10 Day <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />