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CHAIN OF CUSTODY RECORDSHERWOOD LABS <br /> Bilt'tn: <br /> P.O, BOX 937 <br /> o od 8071 N. Lander Avenue HILR/IAR, CA 95324 <br /> P.O. Box 937 <br /> Hilmar, California 95324 <br /> LabS (209) 667-5256 Atterrtinn:VICKI HUBIS Phone: D9-667-6256 Pae of <br /> C O R P O P A T ! O N FAX(209) 667-2581 <br /> I <br /> i <br /> Job Number <br /> P.O Pro; Martie r _ <br /> Samplers:(Signature) Site AMmii <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> WENTIMATION) (NITHAMY/YR) (HOUR+MIN) OF (GRAB OR <br /> CONJAINUS COMPOSITE) MATRIX <br /> REMARKS <br /> yin <br /> 004- <br /> 0 <br /> Reltrrrl shed By (Signature) _ Date/Time �' (, Rec iced 6y: Signature) paie+Trme a <br /> ' TURNAR0IDN_®TAME <br />` Re7in 'shed By,{Si rmtu <br /> !` Datelrlme ed 13y�(Sigriature) 244 Date�me � HOUR ❑I-tcq 48 HOUR Ll <br /> ._-. <br /> R Quished ey:(Signature) trata'7ime Received Ry:(Signature) OaWTime <br /> r <br /> DrSTRIBUTIDN: Original-Accompanies RhipmeM Canary Copy:Sherwood Pink Copy:Ssmpler NOTE;'Samples are discarded 30 days after results are reportecr unless ocher arrangeMents are made, <br />