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• 0 0 <br /> CHAIN OF CUSTODY RECORD Bill To SHERWOOD LABS <br /> PO BOX 937 <br /> 8071 N lander Avenue HILMAR, CA 95324 <br /> n *Sherwood PO Box 937 <br /> U <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 ^> <br /> C O R P O A A T d O N FAX(209) 667-2581 1 Aa6n1ion VICKI RUBIS p—hw*209-667-5258 Page of 4 <br /> Job NumberP4 M Prolad <br /> BIW <br /> Samplers (Segnatute) Site Address <br /> v <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE �� <br /> (IDEWIFICATION (U7K%)AYNR) (HOUFVMM tSOF (GRAB �V REMARKS <br /> orvTn�n►s=Fns oonaPosn�) MATRIX <br />� +��J �5� ✓ bow <br /> MW - Lf <br /> mu)-q <br /> mei- i ave <br /> mcg^� <br /> z <br /> a <br /> Relinqu By(Srgnak") Oale/Tirne Raccund By (Srgnatune) DatelTrma <br /> TUgNAROIJ D TIME <br /> Heh d BT(Sr alune) Date/fi R&ived By (Slgnaue) bawn 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> Rf.RN <br /> unshed By (Srgnalure) D&CMme Reaarved By(Signature) Da imer DAY❑ N <br /> DISTRIBUTION Ortgtnal Accomparnes SMpmerd Canary Copy Shenvoad Putic Copy Sampler NOTE Samples ate drxarde141 da akar <br /> Ys yrs aro rid urjew alter ananW"nu ani made <br />