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CHAIN OF CUSTODY RECORD 'o To SHERWOOD LABS <br /> P 0 BOX 937 Co <br /> Sherwood <br /> 8071 N Landes Avenue HlLMAR, CA 95324 <br /> P O Box 937 <br /> (,] Hltmar.Callfornta 95324 <br /> Labs (209) 667-5258 <br /> C O A P O R A T 1 O N FAX(209)567-2581 Altent,on VICKI NUBIS P"0"a 209.687-5258 Page of o <br /> ry <br /> dob Number PC 1 Pro ame <br /> a�/9 T(Zcjoel <br /> � <br /> plO <br /> Sames (Signature) Sae Address �y <br /> P� <br /> SAMPLE LOCATION DATE TIME NUMBER TYPEOF (GRAS SAMPLE <br /> (IDENTIFICATION) (UT"DAYN11) (HOU" CONTAINERS CONTAINERS COMPOMPOSITTE) REMARKS <br /> W 6 8' rab dol L 2 - o lip <br /> [A) <br /> flernq had By (Sqnswre _ OaCe/Tune —� d By(signature) Dal rwm <br /> 9`j TUSHAQ,QUND TIME <br /> JIVq7utshed <br /> ey(Signature) DNlairme cei! B (Signature) a �4 HOUR ❑HOUR ❑BY(Stgnakpe) P Remww By (67 <br /> $ DAYX <br /> DISTF MAION OrQml Aowornpantee m mem Canary Copy Sherwood fink Copy Sampler MOTE Samples are dwcvd4d 30 days aner resum ars mored Unless ow Alremwnem Ore made <br />