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taw■ wtt�r ti 111111= i � iIIIIIIIIII V . I_ <br /> CHAIN OF CUSTODY RECORD SHERWOOD LABS <br /> PO sox 937 <br /> r o P O Box 937 8071 N.lar? Avenue HILMAR,CA 95324 <br /> T <br /> &NilHilmar, California 95324 <br /> Labs (209)667-5256 <br /> C Q R P 0 R R T 1 O N FAX(209) 667-2581 �ne�non STEPHANI ROSSOW " '° 209-6B7-5258 PagB of <br /> Joh Number PON Protect Name <br /> r � � <br /> Samplers (Signature) Ia4--5 1i�'-kr . W1 04 <br /> v <br /> SAMPLE LOCATION DATE TIME NUMBER B SAMPLE <br /> (GRAoa <br /> (IDENTIFICATION (WHADAYtYH) (HOURMIN) OF COi[fAlhElas c7 OR) h14ATFiiX � <br /> / f j REMARKS <br /> 7oj <br /> I <br /> I <br /> z <br /> 0 <br /> ca <br /> Relinquished By (5gulute) Date,Zime Received By(Slgnatute) iaaWTrine LONAROUND. RME <br /> !bhq 100 l Il <br /> Reirm coshed By(Signoras) DaiaMme Received By (Signature) ) ,Q� Datum 24 HOUR 0 <br /> 48 HOUR U <br /> Retrnquished By (Signature) L-M&Time Received By (Signature) DatatTime !j © Y❑ <br /> DISTRIBUTICI* Orrgrnal Aocornpar0es ShgXnent Canary Copy Sherwood Pink Copy Sampler NOTE Samptes are dracarded 30 days after tesu€ts are reported unless other arrangements are made <br /> r <br />