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C) <br /> CHAIN OF CUSTODY RECORD ei"To: SHE=RWOOD LABS <br /> P.O. BOX 937 <br /> Shwwood 937 8071 N. Lander Avenue HILMAR, CA 95324 <br /> P.O. Box <br /> Hilmar, Calif(iforr►ia 95324 <br /> Labs (209)667-5258 <br /> Arm°n' VICKI HUBiS Ph""" <br /> 2W-4% <br /> C) t? P R A t O 1v FAX'(209) 667-2581 209-667-5258 Page Of <br /> Job Number 'T11,11 Pnn ect Nara <br /> Samplers:(Signature) Site Address Gj r <br /> SAMPLE LOOA710N DATE 71ME NUMBE=R TYPES SAMPLE 4 01 21 <br /> (IDEWIFIC,ATION) (MTtIIaAYlVR) (HOUi�+MIN) OF (GRAIESOn <br /> C WHINERS COMPOSITE) MATRIX <br /> REMARKS <br /> z o <br /> z r - 3 <br /> -. 0 <br /> 0 <br /> a <br /> Relinq d Br.(Signature) Cwerrpime R c ived El (Si Lure) Delief ime <br /> m TEE RNARO O TI E <br /> .'3rd V( ' � <br /> Rellnquish9 y:(signature) DafelTIMS wed By:(Signature) DEB NB 24 HOUR E� — <br /> n®ture 48 HOUR © <br /> Relinquished By:(Si \ <br /> 9 ) owv'fime Received By:(Signature) QalarTeme <br /> 8 ® �❑ <br /> DISTRIBUTIOW Original-Aceompenies Shipment Canary Copy:Shermod Pink Copy:Sampler NOTE:San'Pies are discarded 30 days after results are reported unless oftr arrangements are made. <br />