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CHAIN OF CUSTODY RECORD Bill TO <br /> Sherwood 8071 N Lander Avenue <br /> PO Box 937 jF9~1 eh 953.24 <br /> rte: Hilmar, Caldornia 95324 <br /> ] Labs (209) 667-5258 Attention Phone <br /> d; I CORPORATION FAX (209)667-2581 Page of <br /> Jab Number Pd♦ Protect Nema ` <br /> y � p �T( <br /> Sarrrplers (Signature) Site Address <br /> co <br /> i SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLEOF JGRAB OR � 4i � <br /> Ln (IDENTIFICATION) (MTH/DAMR) (HOURUN) CONTAINERS COMP0817E) MATRIX �v REMARKS <br /> co <br /> ° W — 1 ' all e- <br /> 0 z i�3 ms t 1Er6e T F3+� x <br /> 63 jj3 rnU) 3 <br /> r~ <br /> m <br />; :tt J. <br /> \j By( oat Recawed BY(Signature) Datarrime TURNAROUND TIMCDE <br /> a gr� <br /> Rel"Ished w(Sipnatue) Datarnme Reamed ay'(Signature) Daterraw 24 HOUR ❑ <br /> 48 HOUR 0 <br /> n*1*d By (S,grr6� m) Data/Thne Received By (Sosturs) DahwTwno *J DAI/X <br /> ' ps - - ,� z-5-I>s (03 0 1 <br /> DISTRIBUTION On&W Acaompanias Slapmem Canary Copy Sherwood Pink Copy Sampior NOTE Sempiee are Weearded 30 days after results aro reported uniesa other arrargemeft aro made <br />