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CHAIN OF CUSTODY RECORD BdTo SHERWOOD LABS <br /> P o BOX 9378071 N Lander ' <br /> Avenue HILMAR,CA 95324 <br /> Sherwood PO Bax 937 <br /> lailLabs <br /> Hilmar, California 95324(209) 667-5258 Anerrba ��ne <br /> C O R P O R A T I O Al FAX(209) 667-2589 :fEP6 i +� 209-667 5258 Page of / 4 <br /> c r Qr5 <br /> Job Number PQ t! Proted Mame <br /> olallne� Anna No <br /> Samplers (Srgrwowe) Site Address �y — <br /> . L <br /> SAMPLE LOCATION DATE TIME NUMBER I TYRE SAMPLE <br /> (1DENT11FICATION) (MT6tAWIYR) (HOUR+M" �� OMPO T MATRIX <br /> co OF <br /> c(GRAB I11 -��REMARKS <br /> n 001 <br /> o a J , 00Z <br /> CO3 <br /> c <br /> c <br /> c <br /> v <br /> RAN Ished By (%y <br /> ) DelsOmme /-a$�� Reoermd By (Signature) OatelTime <br /> �r �� �� T4RNAROIlIJDTIME <br /> / off!'o p <br /> Re whed (SF$nature) DatefTrme served (Sr etu w urs 24 HOUR❑ <br /> / .t.r oo �1a g' �1 ao ��►� 48 HOUR <br /> k"muished By (5gnalure) Dat�me Received ( am Da ane 5 DAYX <br /> DUMBUTION Original Accempanie8 StipmeM Canary Capt' Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days atter resulls are reported Lmiesa other errangemerds are made <br />