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CHAIN OF CUSTODY RECORD Bill-V SHERWOOD LABS <br /> Po. Box 937 <br /> Sherwood'' $071 N.Larder Avenue <br /> P.O Box 937 HILMAR, CA 95324 <br /> Hilmar. California 95324 _ <br /> �S (209)667.5258 <br /> CORPORATION FAX(209) 667-2581 ntter�nrr Pe res 209.6367=525$ Page�� Dl <br /> VleKliLA_E3(,5 <br /> .lcb tJumner,. P.6_ - P ct Name <br /> r Sernpters:(Signature) Site Address <br /> f{F <br /> rr SAMPLE LOCATION DATE TIME NUI '�'YPE <br /> A <br /> OF {GRAB O SAMPLE <br /> !Q {IDENTiFICATM" (MTH/DAYIYR) (HOURMIN) OF rT <br /> ,►F+� CONTAINERS GgrNlPosrrE) MATRIX REMARKS <br /> f �s< w ~- /0-/ <br /> R .:z <br /> �5 ,cJ SQ� IA <br /> 57 w 0 <br /> I <br /> U <br /> Relinq had By!fSlgneture OararTi f Reoeived By:(Signamre) [?ate/Time � <br /> Ia / <br /> 'IcURNARQI NI?TIME <br /> r � <br /> A <br /> E FPlinq r Mignaft"1 Date/Tame Reeer'ved <br /> fst ) 24 HOUR <br /> 48 HOUR El <br /> RelinqulehedBy tSignature OetelFime (Si re} `�`— da e 5 QAY <br /> DISYRIBUTIpM Or7ginat-Aeoompanies Shipment Canary Copy:StrenHood Pink CggF:Sampler NOM Samples are discaroed 3Q dWslatter results are geported unless Wher anangernent;are rnade <br />