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CHAIN OF CUSTODY RECORD Bill SHERWOOD LASS <br /> P.O. BOX 937 ' c <br /> 5nerwood 9071 N.Lander Avenue HILMAR,CA 95324 <br /> P.O. Box 937 a <br /> Hilmar,California 95324 � <br /> abir (209) 667-5258 Attention: STEPHANI ROSSQW Phone'209-667-5258 Pae of ~ <br /> G o H P o R A T / ON FAX (209)667-2581 g <br /> rt <br /> Job Number P.O.✓< Pro ct tlame p cc: <br /> Samplers:(Signature) Site Address 1 <br /> Va0vIF rrv <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE � IQq � rr <br /> (IDENTIFICATION) (MTH/DAv/VR) (NOUWMIN) OF (GRAB OR <br /> CONTAINERS COMPOSITE) MATRIX REMARKS <br /> t� <br /> -Wa4ez e-7 <br /> r lr1 P DI <br /> 6T7V r oz <br /> - 1D 3 <br /> No e4i, — O' Ur} <br /> Q f — w ' �S <br /> 06 <br /> Pe"Ril tce jh 60 0 oN4-,,m,3 <br /> Sw g Z5 z <br /> P <br /> co <br /> n <br /> PCP <br /> D < a' <br /> CP <br /> 0 <br /> to <br /> Cn CO <br /> n <br /> Relinquished By:(Signature) Date ime R <br /> By:(Signature) Dat i T R ARQUND TIME <br /> p $ Z 7 9l 50 <br /> Relinquished By:(Signature) Datemrne Received By:(Signature) Date(Time 24 HOUR ❑ <br /> 0 <br /> 48 HOUR ❑ C0 <br /> Relinquished By:(Signature) DatelTime Received By:(Signature) Date/1lme <br /> 5 DAY i, <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />