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&AIN OF CUSTODY RECORD SHERWOOD LABS <br /> _ P O BOX 937 <br /> 8071 N Lanier Avenue HILMAR, CA 95324 <br /> Sherwood P O Box 937 <br /> Hilmar, Calitornla 95324 <br /> LZ &NJ IV Labs (209) 667-5258 Attan�n VICKI RUBIS Phone 209-667-5258 Pae Of <br /> C O R P O R A T 1 0 N FAX(209) 667 2581 9 <br /> c� Job Number POM Pro act Name <br /> 0 <br /> z Samplers (Signature) Sao <br /> N <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION} (11VITHMAYIYR) (HOURIMIN) OF (GRAB DR MATRIX <br /> CONTAINERS COMPOSITE) REMARKS <br /> domw - 11 - �� 1030 r o' 36t- ovt <br /> 1100ooz <br /> +'n <br /> 1130 <br /> -COMr �b3 <br /> u - 13 1 C� ✓ Oo <br /> 01 <br /> 3 0 ✓ �7a� <br /> w m - 00 <br /> 0 ✓ 608 <br /> +^n - a I J 30 ✓ to <br /> C m 1500 ✓ oto <br /> W w if V r DIG. <br /> C'W 1 0�3 <br /> 4V <br /> 1.C7 <br /> Rehnqu nod ay (S+9netu Datao ime D , R d By (Spnaturs) Dat&mme TURNAROUN12 TIME <br /> 0 <br /> heli ukkictdBy (signature) DaIaMme Rttkedl By'(Signa e) DatelTime 24 HOUR ❑ <br /> CV <br /> 7,/-?-i-/v/ - ` D� ►2 48 HOUR ❑ <br /> d <br /> NuLshed By (signature) oaterT,me Med y (Svarure) OatelAme 5 DAY ❑ <br /> DISTRIBUTION Otginal A=wanies Shtpmerrl Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made <br />