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0 <br /> CHAIN OF CUSTODY RECORD Biro SHERWOOD LABS <br /> 3 <br /> P 0 BOX 937 n <br /> fu <br /> Rome � od 8079 N LanderAvenue <br /> Shw <br /> P O Box 937 HlLMAR, CA 85324 <br /> &QL Hilmar, Califomla 95324 <br /> Labs (209) 667-5258 Attsntrort1Ofe <br /> CORPORA T1 ON FAX(209) 667-2581 VICKI HUBIS 209-667-5258 Page of <br /> Job Number p0 # Protect Name <br /> CONNELL TRUCK <br /> Samplers (Signature) Site Address GJ ~ <br /> 47 <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (W 0AYIYI1) (1i)1_iPVMlN} OF (©WOR <br /> CO <br /> NTAINERB composlTE) MATRIX 0� REMARKS <br /> MW10 @ 40' 10- grab soils X X <br /> NW10 @ 55' <br /> lazl-ai.01 <br /> Lo <br /> 010 5' <br /> MW10 @ 80' <br /> MW10 .2 85' ✓ �� <br /> MW10 @ 90' _ <br /> Kwia 10-2 ,r <br /> MW10 @ 100, � 5 U <br /> Iv <br /> ED <br /> i9 <br /> IMA- <br /> Reunquished <br /> Daliamme Received By (Signature) ao n TI By(Signature) Datamme jaZ> B (sig u } j t a3 <br /> 24 HOUR ❑ <br /> T <br /> 48 HOUR ❑Ronq" <br /> ed By-(Signature) UatalTi nred By(Signature) QatefTfrrie 15 DA <br /> Y�C <br /> ❑ISTRIBU110N Odgmal-Axompanles Shipment Canary Copy Sherwood Pink Copy SamplerNOTE Samples are discarded 3a days aider resu[Is are reported unless other arrangements are made <br />