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E" 11" l"-11-1 r-11.1 r7 9-7 r1-7 c.-, C"-.p [- d [" tom' E'er r-T r--1 <br /> CHAIN OF CUSTODY RECORD Bill To: SHERWOOD LABS <br /> P.O. SOX 937 <br /> 1z ,Sherwood <br /> � 8071 N, Lander Avenue HILMAR, CA 95324 <br /> P.O. Box 937 <br /> AAVHilmar, California 9532A� ` <br /> Lars (209 667-5258 r <br /> AttentiQrt: Phone: C <br /> C O R P O R A T' 1 O N FAX(209)667-2581 VICKI HUBI$ 2U9-667-5258 page ---L of J— <br /> Joh Number P.O.V Project Tea c <br /> �T of6zan <br /> Ssmpters:Oignature) Site AddFt-% <br /> SAMPLE LOCATION DATE TIME NUMBER T"I- SAMPLE <br /> {IpENTIFICATIpN} {hrSFfi�pAYJYR} (HOUFtthllr� OF (GRAB OR Jl � <br /> CONTAINERS COIAPOSITE) MATRIX "Q REMARKS <br /> 075.0 19 ctrab wab4 <br /> LES• / 0 S '?0 <br /> 3 D Ips <br /> f <br /> fleiinqu ed By,(3ignablie DacaRime .. � Received BgnatureTol <br /> Re, jhhed Bj,:(Signature) Daternme Faiceived By:(Signvtjre) (rawf ime 24 HOUR 0 rn <br /> 48 HOUR 0 <br /> Fiyrg-vished By:(9ignalure) re+ me Received By:{ gnsture) I]aterTime <br /> ptSTRIBUTrON: Original•Amornpanies Shipment Canary Cop vV Sherwood Pink Copp:5ampter NOTE:Samples are dfcarded W days atter M$uhs are m paried unless other arrangements ars made. <br />