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HAIN OF CUSTODY RECORD ""To SHERWOOD LABS <br /> P 0 BOX 937 <br /> AM Sh <br /> 8071 N Lander Avenue FiILMAR, CA 95324 <br /> P 0 Box 937 ^' <br /> Hilmar, Californta 95324 <br /> Labe (209) 667-5258 <br /> C 0 R P 0 R A T O N FAX (209)667-2581 a'18" ' VICKI HUB1S Phone 209-fi67-5258 Page of o <br /> Job Number PO a Prat 796me <br /> Samplers (Signalure) Site Addiass a <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> IIDENTIFICATIOM (MTFVDAYNR) (HOURN" OF (GRAB OR MATRIX <br /> CONTAINERS compos7E) ` REMARKS <br /> b Sul- <br /> MW <br /> L ✓ ��30� - o t <br /> ' `� � @ of <br /> w D � <br /> rl)w IAj <br /> a <br /> 1) 9 Oat <br /> W C <br /> da3 <br /> 6D o <br /> 6 <br /> ti @1 o <br /> ✓ a a'� <br /> Rehnqu hed By-(ftnature) - 04WITIme 5-+ R ed Byy((Signahme) pgps gm o <br /> TWONARCUND TIME <br /> Rek d By,(Signalure) DatefTm Xsomvw By (5rgnature) DateRlme 24 HOUR ❑ <br /> of (t15 <br /> cc":) t�� a8 HOUR 0 <br /> RiVriqui3hed By (Signalure) Dals/Time Received ignahne) Oetenime 5 DAY <br /> DSTRIBUTION Onginai A000rnpames Shipment Canary C;oW Sherwood Penh Copy Sampler NOTE Samples are discarded 30 days alter r UR5 are reported Maim other arrangefienta are made <br />