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i <br /> CHAIN OF CUSTODY RECORD BM TO. SHERWOOD LABS <br /> PO. BOX 937 <br /> � � ,8071 N. Lander Avenue HILMAR,CA 95324 <br /> Hilmar, <br /> Box 937 <br /> Hilmar,California 95324 _ <br /> Lars (209) 667-5258 AMentiarn Phone: <br /> C 3 R P O A A T f O N FAX(209) 667-2581 STEPHANi ROSSOW 209-667.5258 Page Otid <br /> Al <br /> Jab Number P.O.Jr Project;Name r <br /> . � z <br /> 5amp[ers:(Signature) Site reqs <br /> l111�- Lode =P" <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE � <br /> (IDENtMATION) (MTWDAMR) (HOURt?+cIN) OF (GRAB OR MATRIX <br /> CONTAINERS COMPOSITE) REMARKS <br /> t2.p <br /> A6 LAY <br /> a"LzL <br /> �-� <br /> i <br /> f . <br /> 1 <br /> Relinquished By.(Signature) catetrime Received By:(Sighature) Datarrme TE[EMROUND TIME <br /> AQ 1 ti o/I 9`t �pPD <br /> Reli vv" By:(SQnuture) DalwTime Datanime 24 HOUR ❑ <br /> I-011110 /Ass- A it 48 HOUR CI' <br /> IinQuisinedBy.(Signature) DeIeMnve Rene (Swature) D`at�me q , <br /> 0 0{ Jt kvi 5 �QY <br /> DISTRBUTION: Original-Aocompanies Shipment Canary CcW:Sherwood Fink Copy,Sampler V E•Sample-aie distafted 30 days au r resuks are reported unless other arrangements are made <br />