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! i i <br /> CHAIN OF CUSTODY RECORD SATO SHERWOODLABS <br /> P o BOX 937 <br /> ShoopwoodPO Box 937�r Avenue HILMAR,CA 95324 00 <br /> Hilmar, Calllornla 95324 <br /> Cebu (209)667-5258 <br /> C O R P O R A T J 0 N FAX(209)667-2581 Anernorti STEPHANI ROSSOW I <br /> Phare 209-667-52661 Page of <br /> job Numdar Po II Pro NnneLL <br /> b <br /> samplers (srgnaLne) sa n ss � s <br /> �t <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTWDAYIYR) (I~OMMIN) OF (GRAB OR MATRIX <br /> CONTAINERS COMPOSrr� REMARKS <br /> M- <br /> 4- <br /> Relinquished By (SlgnaUe) DateMme Recemed By (Sr oro) Da '"1e I,IRflAROVNQ TI1111E <br /> 9 C — LQ <br /> Relinquish By (Signature) OateiTrme d By (Sign Iv e) Data�Tirre 24 HOUR <br /> 48HOUR 0 't`; <br /> Rehnquished By (S>gnefure) Date,'Tmv Remmed By (Srgna(ure) WwWr7e p1;�5 DAY' ., <br /> DISTRIBUTION O mpnel Aczrornpanoey Shipment Canary Copy Sherenod Pink Copy Sampler MOTE Samples ate dsrarded 3D days atter resul%are reported unless alher arrargemerft are 6do <br />