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[ [ [ I [ [ [ t t t t i t t t t t t i <br /> n <br /> CHAIN OF CUSTODY RECORD Bill TO: SHERWOOD LABS <br /> i P.O. BOX 937 � <br /> Sherwood 8071 N.Lander Avenue V, (L4;HILMAR, CA 95324 <br /> '�� l/ P.O. Box 937 <br /> Hilmar, California 95324 �i fitig I S <br /> Labs (209)667-5258 <br /> C O R P O R A T I O N FAX(209) 667-2581 Attention:. --T"—'209-667-5258 Page of <br /> Job NumberP.O.M project Name <br /> Samplers:(Signature) Site"dram <br /> d SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE Q <br /> n (IDENTIFICATION) (AATH/DAY/YR) (HOUR/MM OF (GRAB OR MATRIX REMARKS 08 RPR 11 12:26 <br /> CONTAINERS COMPOSITE) <br /> 17 T L,L _-'T- - 13 Qa I i IS I drck-b So I L �P982 –ov% <br /> TLL S-PA-t DTU-s - l 1 c7 �or��l ✓ -�3 <br /> J <br /> ( ! 5 ! raga <br /> -TLA <br /> - 5 C. ao5 .L ✓ -oos <br /> J <br /> Q <br /> Z <br /> Q <br />_J <br /> Z <br /> J <br /> 1 <br /> Rata d By:(Slgnatwe) Date/Tlme Received By:(Signature) Da <br /> oo TURNAROUND TIME <br />$I -------------- <br /> Rellnqulstwd br.(Sipnpture) Data/Ture Received By:(Sena Dat e l 24 HOUR 0 <br />�� 48 HOUR Q <br /> aRellnqulOod By:(Signature) Datelfime Received By:(Sig)*AuAL.,, Date rime 5 DAY <br /> DISTRIBUTION: Orlglnal•Aocompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE!Samples are discarded 30 days atter results are reported unless other arrangements are made. <br />