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CHAIN OF CUSTODY RECORD Ie"To SHERWOOD LABS <br /> P 0 BOX 937 <br /> [allSherwood P 01 Box 93 der Avenue HILMAR, CA 95324 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention VICKI HUBIS Phone 209-667-5258 Page of <br /> O R P O R A T / O N FAX (209) 667-2581 <br /> Job Numher PO q Prol ame f _� <br /> Samplers (Signature) Site Address <br /> =�v <br /> NUMBER TYPE <br /> SAMPLE LOCATION DATE TIME of (GRAB OR SAMPLE G <br /> fIDENTIF�ATION) (MTHlDAYIYR) (HOURIMiN) CONTAINERS COMPOSITE) MATRIX REMARKS <br /> W C_ 5-W 1 ��6 S��� ✓ ��3c� - d �� <br /> MW o <br /> MW OT (�'_ <br /> MW 6 a 4�O <br /> mo 1 bal <br /> W � _D 4Gtfiw6 a� <br /> D C55 1 1 6 `,1 <br /> � z ✓ ��la <br /> 70as <br /> IVI I I I I � c <br /> Rec ved <br /> Relmqu hed By (Sicrature) Daterrme 5� By (Signature) Datemme <br /> �S+9natureTURNAROUND TIME <br /> i <br /> Relin u�hed By (Sicr•ature) Date/Tme eceived By (Signature) Date/Time 24 HOUR ❑ <br /> �� �� /AGa /,?,Z/ - `tom "I (f z ftp + t 48 HOUR ❑ <br /> Reifriquished By (Signature) DatelTime Received ignature) oatelTime 5 DAY <br /> DISTRIBUT nainal-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless oche ements are made <br />