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CHAIN OF CUSTODY RECORD t3dlTa SHERWOOD LASS <br /> PO BOX 937 <br /> Sherwood 8071 N Lander Avenue HILMAR,CA 96324 L <br /> PO Box 937 <br /> Hilmar, California 95324 <br /> ILabs (209) 667-5258 Attention Phone <br /> It I C ORPO R A T I O N FAX (209) 667-2581 5TEPHANI ROSSflW 209-667-5258 Page - -of s <br /> Job Number PC) It Project Name <br /> Samplers (Signature) Sole Address vj <br /> 7 e elkt>�-T <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE Q <br /> SAMPLE <br /> (IDENTIFICAnO?4) (MnVDAY/YR) (HouRnalN) OF [GRAB OR CONTAINER$ cOMPOWE) MATRIX <br /> REMARKS <br /> wmw — Q',>3a F4Y1 f U.-b kf- M E D19E E r$w <br /> T <br /> Rerrn urged ay(Sujnat ) OalerT" -7aq ,:?y Reoenred Dy (Signature) 0ate4Time <br /> R=/riA-M 7�a LI�RNAROUNOTIME , <br /> Re4ngwStled y (Sgnature) Oatome Rae veil By Ighilllre) 24 HOUR ❑ <br /> 48 HOUR (:U (' <br /> Relinquished By (Signature) DaterrIme Received By (Signature) DatelTinee S DAY U r <br /> DISTRIBUTION Ongnlal Attnrrpanres Shrpmerd Canary Copy Sherwood Pink Copy Sampler NOTE Samples are d:scorded 30 days alter results are reported urdess other ariangemenls are rude <br />