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CHAIN OF CUSTODY RECORD Bill To SHERWOOD LABS <br /> P 0 BOX 937 <br /> Sherwood 9. 8071 N Lander Avenue P O Box 937 HILMAR, CA 95324 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Prone 209-667-5258 Page of <br /> O O R P O R A T 1 O N FAX (209) 667-2581 <br /> Job Number POM Prolec ame <br /> Samplers (Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE P� <br /> (IDENTIFICATION) (NETT/DAYNR) (HOUR/MIN) OF (GRAB OR MATRIX <br /> CONTAINERS COMPOSITE) REMARKS <br /> W 5 C2 In qccLh 5o(i- I <br /> MLj S p a5 i V4 I OOa <br /> M WS c �3 <br /> S C 60 Lt <br /> 40 <br /> rnUj G <br /> �© <br /> 52, <br /> 0 S 0jQ <br /> tYl t,� S Q oil <br /> Q <br /> 5 @ a# <br /> O , y <br /> 90 <br /> Relmq shed By (Signature) Datefrimep Received By (Signature) Date/Time <br /> TURNAROUNDTIME <br /> 97 <br /> Relinquished By (Signature) Date�me �ecewed By (Signature) 9.t./I'ri a 24 HOUR ❑ <br /> (;;;�- �-- ill-WICo /tea C3" Q,^—L-->0-k7jp� --� �18 t48 HOUR ❑ <br /> linquished By (Sicnature) Date/Time Received By ( Ignature) DateMme rj DAYX <br /> DISTRIBUIWOnainal Accompanies Shipment Canary Cooy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless oth4wgements are made <br />