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CHAIN OF CUSTODY RECORD BiilTo: SHERWOOD LASS <br /> P.O. BOX 937 <br /> 8071 N. Lander Avenue <br /> x hwwood PO. Box 937 HILMAR, CA 95324 M <br /> Hilmar,California 95324 <br /> Labe (209)667-5258 Atl lon_ Phone p <br /> C 0 R P O R A T ! 0 N FAX(209) 667-2581 VICKI HIJBIS 209-66-1-525E age_ of <br /> Job Nurntw P.O.: FPioject Nameormay Ar" AM-PM— <br /> ky i <br /> Samplers:(Sig"twe) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> {IDENTIFICATION) oft (GRAB on <br /> (W")AyrYtl) (HoUl'b") CONTAINERS WMPOS(TE) MATRIX `b <br /> REMARKS <br /> Mw-1 .12-43G3 1315 2 qrab water Lt� <br /> --2 1208 7) <br /> mw-3 1117Wo <br /> 1 oQo <br /> (V <br /> 1046 kn <br /> W <br /> 1 Lt1 A <br /> m <br /> d <br /> ro <br /> N <br /> n� <br /> w <br /> c� <br /> Re" had BY:(sgnature QapgfTmg II Recemed (Signawrey DaloTime ' TURNAROUNDTIME A <br /> Re?tnqu h Syr(Slynalure) Datefime /�2 J2 rff4iw=dignju Datrlfim 24, HOUR(, 3 <br /> i� Il a3 <br /> P.elinquished By:(Sioatwe) Date>Trre Received 6 :jSipatuW I Ila me J DAY <br /> DISTRIBUTION: Or'ginal-Aawmpanies Shipment Canary Copy:Shenvocd Pink Copy: pfer NOTE:Samples we discarded 30 days afOBr results are reported unless of w arraNemerta we"We. <br />