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CHAIN OF CUSTODY RECORD 6 1 SHERWOO© LABS ROW <br /> P O BOX 937 0 <br /> Sherwood5071 N LanderAr/enue HILMAf�, CA 95324 <br /> [all <br /> PO Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C O R P O R A T 1 Q N FAX(209)667-2581 VICKI HUBIS 209-667-5258 Page ofit <br /> Job Number PO 0 Prulact Name <br /> y <br /> Samplers (Signature) Site Address <br /> 74-Qr " <br /> Q <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MT)-VDAVfR) (HOUROUII OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX REMARKS <br /> ! .34 arn h -UU <br /> m h 1330 .c <br /> mu)- 5 1 IAN 0 <br /> MW- "7 1as4 ouU <br /> mu) - 1130 007 <br /> 1030 <br /> r 1 d CIA <br /> z <br /> 0 <br /> Relmisbed By (Signatur ) Dawrrlime Tlecewed Sy(Signature) Dateltime TURNAROUND TIME w <br /> �9 O1 (#07) 409100 <br /> Rely uished By,(Signature) Datelrime Weed By (Signature) Datartime 24 HOUR n <br /> 14q � a6 Ho ry <br /> 6rrquished By ISogrialurre) Dal&Tene Re ved (Signalu ) Te CS DAY ❑ <br /> DISTRIBUTION Ongirral Aonompanles Shipment Canary CaP1r Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days alter results ale reported unless other artem ade <br />