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r r r r r r r r ■■� � rr rr ■r rr r M rir rr <br /> CHAIN OF CUSTODY RECORD Bill To SHERWOOD LABS <br /> P o BOX 937 <br /> Shd� �� 8079 N Lander Avenue HILMAR, CA 95324 <br /> AlLabs <br /> P Box 937 <br /> Hill mar, California 95324 <br /> (209) 667-5256 <br /> CORPORA T ! O N FAX(209)667-2581 Aroemron ViCKi HUBIS Phone 209-687-5258 Page of C <br /> Jqb Nunber PO a Pr led Name <br /> Samplers (Srgnaiure) Site A6dtess <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE P <br /> (IDENT1FICATIOMt�nTuDArn R) tH)uRrt�:r oP (GRAB OR MATRIX <br /> CONTAINERS uMP0517E) REMARKS <br /> n2-h W 5 - <br /> �,z <br /> Cb-3 <br /> 0 <br /> Relinqu ed By(Sgnature) DaieMrw +� �� Received By (Si amre) bat rme <br /> / / TURNAROUNDTIME <br /> Relinquished By (Srgnaiure) Dale(Time Recer+ed B Sign lure) DareMme 24 HOUR ❑ o <br /> as HOUR ❑ <br /> Relinquished By (8rqnalure) Datenme Received By 16r§nadrre) QaxvTrme 9!�� I <br /> DISTR1135; N Orrgrha! A000mparmes Shipment Canary C--M-Sherwood Pnk Copy Sampter NOTE Samples are discarded 30 days alter rmufts are reported unless other arrangements are made <br />