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fir. r"T r", r." r, r� �, �� � r-," r-" r`.`* C�7, F-" r---, r„�, <br /> 5 <br /> CHAIN OF CUSTODY RECORD Bill 7o SHERWOOD LABS <br /> P0. Bax 937 <br /> 80 <br /> Shwwood <br /> Hilmar, <br /> N. Lander Avenue HILMAR, CA 95324 <br /> 937 <br /> �{ilmar, California 95324 <br /> 14abs ' <br /> (209) 857-5258 Atlention: Phone: <br /> C 0 R P O P A T 1 © N FAX (209) 667-2581 VICKI l il9BlS 209-867-5258 Page O <br /> Job Number P.O. r P N�ae <br /> Samplers:(Slgnawte) SilteAdyree <br /> SAMPLE LOCA1110N DATE TIME NUMBER TYPE SAMPLE P <br /> (IDENTIFICATION) (WTHMAYNA) (HOUS MIN) OF (r3HAB OR ��,���x <br /> CorrrAINEAS COMPOSITE) REMARKS <br /> Z22_4�2- AQ <br /> / / 80.E <br /> I <br /> Relinqul By:(signature} DakerTime Re 'rW By:(Si"ure) Datelf�r<se <br /> J"'17 01 44704 <br /> FIe1 wished By:[$i"ure) DabeiT-rrne Ffe0eived By:(SignBtural ; Dat>caTrrne 24 ®UR <br /> a <br /> a 2� 48 HOUR <br /> elingvished Sy:(8ignaturep D&wnrhe Received By:(Signature) MAW I ime c <br /> 5 �A Y ❑ <br /> naQ'k ' <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:sampler NOTE:Samples are disc arded 30 days after result$are reparte0 unless other arrangle-ments are made <br />