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r7 r, a r— rrte: r-~ r--• <br /> CHAIN OF CUSTODY RECORD Bin ro: S14ERWOOD LABS Q0 <br /> P.O. BOX 937 <br /> ® P.O ox 37 071 N. Lander Avenue HILMAR,CA 95324 u <br /> LabSHilmar, California 95326 <br /> . (209) 667-5258 Attention: Pune: <br /> C O R P 0 R A T 1 0 N FAX(209)667-2581 VICKI HUCiIS 209-867-5255 Page <br /> Lc <br /> fob NumberN <br /> Prc$eci Narita <br />. <br /> Georges Service <br /> Samplers:(Signature) Site Address ��. "t1 <br /> Durham Ferry Rd. �y w <br /> SAMPLE LOCA710N ®ATE d TIME NUMBER TYPE SAMPLE <br /> (IDENTIFlCATION) (MTHMAYNH) (HOURlMIN) AI (GRAM OR MATRIX <br /> CONTAlNEflS C04vIPOs1Tq REMARKS <br /> NW-2 <br /> MW-105 4J 0839 ,] <br /> Q <br /> 00 <br /> w <br /> m <br /> V1 <br /> NJ <br /> fterin shed 8y:(Signature Datamme R ed By:{Signature) Datefrime <br /> .lac S /aZ6 . paw TUBNAROUNo TIME <br /> i4r,{ <br /> Relinquished By:(Signature) Date>Tme Y.(5i a lrtte HOUR LI3 <br /> 48 HOUR � <br /> g t <br /> rmqulshed By:(Signature) 6atehme R kited By:(Signature) ba Mme <br /> I 5ft?! Jr <br /> .A <br /> DISTRiI3 MON: Original-,Accompanies shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after reams are reported unless other arras is are made. <br />