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CHAIN OF CUSTODY RECORD Bill To: S <br /> N ,l <br /> CM <br /> Sherwood PN.Lander Avenue I �4— x <br /> cti P.O.O.Bax 937 <br /> In_: Hilmar,California 95324 <br /> Labs (209)567-5258 - A <br /> C O R P O R A T I O N FAX(209)667-2581 Q 7 7558 Page of <br /> Job Number P.O.y <br /> Sareplem(Signature) Sft AAddress �? �~ -pr•� (1 1 <br /> oCD <br /> 0 <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> LO (004nFICATlom (MTHIDAYNR) (I•tOURIMM OF (GRAB OR MATRIX Q <br /> ,� CONfAINERs COMPOSFTE) 0 ' REMARKS <br /> 07- _ 'D <br /> 03 MW _ <br /> W <br /> �6myj _ -7 <br /> 61 mw - c? <br /> �v m <br /> - 7k:nA <br /> w 13 V <br /> 114 Y <br /> Rsli; (SignaWre) Date/rime Recehred lay:(mature) Datetrrrne <br /> o 1 TW NAROUND71MI: <br /> :M Rall ay:(stgr+aNre> DataMrne Foxxtvad By:(Signature) o®sernr,e 24 HOUR ❑ <br /> m <br /> 48 <br /> RelirquisPed BY(Signature) oatertirna f Received Br(Signature) Daterrime <br /> Vie, Ut P S Iz zit-4 d 1 0130 ,� f�?`I-�6 0x]311 5D <br /> DISTRIBUTION: Original-Accompanies Shipment Can Shsiwood pink Sem sported angements are nada. <br /> Canary Copy: Copy: pier NOTE:Samples are discarded 3Q days aHer rea,�are r unless other err <br />