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CHAIN OF CUSTODY RECORD sr1'T- SHERWOOD LA13S <br /> P O Box 937 x <br /> 'Box 93 der Avenue HILMAR,CA 95324 <br /> Sherwood PO <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 AltBnticn VICKI HUBIsPhane 209 867-5258 Pegg � I <br /> C O R P Q R A T J O N FAX (209)867-2581 <br /> .bb Number PO 0 Pro)ec1 Name <br /> c <br /> Samplers (Signature) Me Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (16IT 3DAWYA) (HOLPM14 OF (GRAB OR <br /> CONTRIVERS COMPO&ITE) MATRIX REMARKS <br /> wo: 0571, 8 ! o r&.b :5o4 L 001 211 OW 241 Z123 <br /> Mw-5 os 70' do <br /> MtA)-S (to5-) $s` QIP <br /> 171 - dP <br /> 00 <br /> W- 70 tto <br /> I <br /> rti <br /> Ren (shed B§r (Signalu ) D %T4meReceived,B�y (Signature) paEelruns 191RNAROEJ iiD TIME a <br /> Rel <br /> V-X&.tshedBy ( tgredlure) Daldrrmte ecenedBy-(Si lure) me 24 HOUR ❑ \ <br /> 4 as ram <br /> I zz 48 HOUR 0 `r <br /> 11nqul*ed By(Signalure) wn Re*tved Igna re) DBtW71me AVI <br /> DISTRIBUTION Original Accompanies Shrprnent CanaryCaps Shenwppd Pmts Copy Sampler NOTE Samples are discarded 30 days alter results are reported unless Other amengements are made <br /> 4 <br />