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CHAIN OF CUSTODY RECORD Rill To SHERWOOD LABS <br /> P 0 BOX 937 <br /> 8071 N <br /> Sherwood PO Box 9$7 Lander Avenue HILMAR,CA 95324 <br /> Fulmar, Callforn(a 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C 0 R P 0 R R T f O N FAX(209) 667-2581 STEPHANI ROSSOW 209-867-5258 Page of <br /> Job Number AO Project Name <br /> MOr ,-{- al br04b e-r <br /> Samplers dSrgnatum) Site Address <br /> �v <br /> I <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTMMAY/YR) (HOUR MINI OF (GRAB OR MATRIX <br /> CONTAINERS composarz) REMARKS <br /> 7// AR rab der Q KA Dak <br /> `3 e124Vz s r�� <br /> 1 <br /> I <br /> 1 <br /> I <br /> r <br /> Relinquished By (Signature) Oateyrune Rece By (`Signature) DatarTi <br /> TURNAROUND TIME <br /> Rellrqumh_ebBy (Signature) Date/Time ccervedBy (Signature) DaterTrre 24 HOUR ❑ <br /> VrXAT-0 -706 48 HOUR ❑ <br /> e)lnqutshed By (Sgnature)IF Recerved By (Slgnature) daieffime <br /> 5 DAY,�V c <br /> 01S' ;k3UTlON Orrgnal Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are disc%rded 30 days after esulls are repo ted unless other arrangements are made <br />