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CHAIN OF CUSTODY RECORD BITo SHERWOOD L48S <br /> P 0 Box 937 <br /> Sherwood 8071 N Lander Avenue HILMAR, CA 95324 <br /> P 0 Box 937 <br /> Labs <br /> Hilmar, Cailfornla 95324 <br /> (209)667-5258 Attenbon VICKI HUBIS Phone 209-667-5258 Pa9a Of <br /> CORPORA T / ON FAX(209)667-2581 <br /> PO # Proleat Name <br /> Joh Nur VOGUE CLEANERS <br /> Site Address <br /> Samplers (Signature) TIME �y <br /> NUMBER TYPE SAMPLE <br /> Q= <br /> SAMPLE LOCATION DATE R) (HOUFUMN} OF (GRAHOR MATRIX REMARKS <br /> (IDENTIFICATION) {M7HJD CONTAINERS COMPOSITE) <br /> MW-1 1 <br /> MW-2S <br /> 1 <br /> — 9 i <br /> MW— <br /> MW-3D 1355ML <br /> MW-4S 0953 ✓ 6� <br /> 0917 <br /> MW-5S 124 D <br /> MW—5D 1218 <br /> I <br /> i <br /> Datelllfne By' TUN�ARQUN©TIMB <br /> Rem 24 HOUR ❑ <br /> Daterrma 4 y <br /> Reu sr ) ;Iv y r� �C�rr' 48 HOUR <br /> I R (So"e) Date►>ime DA I <br /> Refinquwhed aY'(Signature DatelTlrne <br /> DISTRIBUTION Onglnal Acoanpanle8 Ship'nent Canary COPY Sherwood Pink Copy Sampler <br /> NOTE Samptes are discarded 30 days otter results are reported unless other arrangements ars made <br />