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� M MGM M M M M M M <br /> CHAINOF CUSTODY RECORD 131H TO SHERWOOD LA13S <br /> P O. BOX 937071 N r <br /> r <br /> Sherwood P O Box 937der Avenue HILMAR, CA 95324 c <br /> Hilmar, California 95324 a <br /> Labs (209)667-5258 Atlention VICKI HUBIS Phone 209-667-52581 Page of <br /> C O R P O R A T I O N FAX(209) 667-2581 <br /> .fob)clamber Prcjeot NameDRUG <br /> Samplers (Signature) Site lij� r <br /> C <br /> k.L <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IUBNTIFICATION) (MTHIOAY") (HOUF;V iiN) OF (GRAS OR MATRIX REMARKS c <br /> GQNTAtNER8 COMPt75tT6) C <br /> MW-1 10-13-04 1205 2 qrob waters <br /> 108 <br /> fflW-3 1136 <br /> 1029 w" <br /> 1000 <br /> 0936 tovo <br /> D728 <br /> 10810 <br /> 0850 <br /> NW-101 1 r <br /> r <br /> R inqu had W Srgnaiu ) Date>Trne R 8y (Srgnature) t7atelitrne 1I1RN OUND��Jh�tE <br /> IAYO <br /> ;)jnqwul9bZsdBy <br /> uishad @y (Signature) QatelTiffeL ac a t3y afore a 24 HOUR ❑ <br /> 1� a &K +48 HOUR ❑ f <br /> (Signature) - Da me Recoweci vy (sig u 5 DA ❑ "� <br /> 3STRiBUTION Original Accompanies$hipment Canary Copy Sherwood Pink Copy Sampler NOTE Samples are discarded 30 days after resuRs are reponed unless other arrangements are made <br />