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CHAIN OF CUSTODY RECORD (0� Bill To <br /> SherwoodPO$071 N Lander Avenue L Bax 937 <br /> �] Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention CORPORATION FAX (209) 667-2581 f Phone �,,,, page of <br /> r <br /> Job Number PO q Project Name <br /> C ,t �\ <br /> Sam➢I 'vgna e) r� Site7Address S� ;`A co ryO� �vq�h��\O� <br /> SAM LE LO ATION DA TIME NUMBER TYPE SAMPLE } C! �\ <br /> (IDENTIFICATION) (MTHYDAYNA) (HOUR/MIN) OF (GRAB OR ,`, Q'r <br /> CONTAINERS COMPOSITE) MATRIX AQ ��/ REMARKS <br /> tl , <br /> Re q ed B (Signal: Datefri a Received By (Signature) Date�me <br /> �Z./5 � TURNAROUND TURNAROUND TIM9 <br /> Reim wished (Sio <br /> gna re) t e R eive By (Signature) ie� 24 HOUR L]l/+ --//Z I oo170,0 4��J <br /> 9 a ao �� 48 HOUR ❑ <br /> 1fill,1gtnShe6by k5tgnalure) Yatemkie Received By (Signature) Datefrime 5 DAY <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reported unless other arras ements are made <br />