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[ [ L [ L L l L L J L L L L L L L I t <br /> t ( t <br /> CHAIN OF CUSTODY RECORD Bill To. SHERWOOD LABS � <br /> PO. BOX 937 (i <br /> hww 8071 N. Lander Avenue HILiNAR, CA 95324 <br /> S "d P.O. Box 937 <br /> Hilmar, Caliifomia 95324 3) <br /> Labs (209)667-5258 Attention:VECKI RUBIS pnone:209 667-5258 Page of � <br /> 4CORPORATION FAX(209)667-2581 <br /> ,lob Number PO.B Project Name <br /> city f a Yl Former ,Argo t <br /> Sampiers:(-S*etuw) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER 'TYPE SAMPLE � <br /> (IDENTIFICATIOM (hilnWAYNS) (wour+rMIN) of (GfIMOR MATRIX ' REMARKS <br /> CONTAINERS COMPOSrtE) <br /> MW-1 3-13-04 11512 2 icab water � { W <br /> aw D <br /> 1433 x <br /> �LA.> o <br /> HW-3 1 1555 <br /> W <br /> MW-4 ry <br /> MW-S 348 w <br /> MW-101 1620 <br /> ru <br /> G <br /> 19 <br /> A <br /> w <br /> Retinq Ed Ev.(S!gnaru— Cate/Time f/'f Feaee" ®y (Sigc ure) l�ate�iime /j/S"'- T1USNAROUND <br /> A <br /> 24HOUR U D <br /> E?etin isheib .(Sign9ture} t7aterTima F elv6d :(Si ) DataTimfi � <br /> /ls" l 48 HOUR U <br /> • 3 l6 0 <br /> ,.tiNuf$t*d Bv:(Signature} stiff R ed thy:(Sigr�atwe o u 5 pAY <br /> me reies rntut. n.s�,.�i.a..... .u>c Chivn.nr e^wrv+n.ctYv:Sfwan�eod Pink Coov:$arrmtar NOTE:Samples are discarded W days atter results arerep&..ed umesa otrwr arrangemerds see made. <br />