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CHAIN OF CUSTODY RECORD Bill To SHERWOOD LABS <br /> P O BOX 937 <br /> sherwvod P O i Box 937der Avenue HiLMAR, CA 95324 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention Phone <br /> C O R P O R A T I O N FAX (209) 667-2581 VICKI HUBIS 209-667-5258 Page of <br /> Job Number PO # Project Name <br /> Samplers (Signature) Site Address <br /> V V <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (MTH/DAYIYR) (HOURIMIN) OF (GRAB OR MATRIX ,r9 <br /> CONTAINERS COMPOSITE) "(( REMARKS <br /> MW - / I I0q1'? <br /> 0753 <br /> l0 q-7 <br /> m cO - 7 Iao <br /> MW - Z 07 �a 3 <br /> nw - �pc_ -d . <br /> rn&J <br /> Rehnq fished By (Sigrat re) Da�Q1a Received By (Signature) Date�me TURNAROUND TIME <br /> 0/Wa <br /> Reli shed By (Signature) DalatTime ecenred By (Signature) DatelTme 24 HOUR ❑ <br /> o LID <br /> X040 48 HOUR Cl <br /> iinqufshed By (Signature) DalpiTrAe Received By (Signature) DaleRme <br /> DISTRIBUTION Onarnai-Accompanies Shipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after results are reporiL menti are made <br />