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M Mir M nr <br /> CHAIN OF CUSTODY RECORD 0„T” SHERWOODLABS � <br /> P o Box 937 <br /> �� ��� 8071 N Gane#erAversue HIGMAR,CA 95324 <br /> PO , 937it fB <br /> Hilmarr, California 95324 <br /> �$ (2099) 667-5258 Atientors..VICKI HUBIS Pone 209-867-5258 Wage CORPORA A T / ON FAX(209)567-2581 <br /> n <br /> FE <br /> PO d Project Mime d' <br /> ALLEY WHOLESALE DRUG <br /> ure) <br /> Site Add-ass g� <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENf'�ICAPON) (MTHIDAYIYR) (HOURMIN) OF (WAS OR MATRIX REMARKS <br /> COPfTAIiVER$ COMPD5l7E) <br /> NW-1 4 1500 2 grab waters <br /> 1 � � <br /> ills <br /> Ao <br /> 1043 <br /> 0920 <br /> 0846 '- <br /> i <br /> ) I M <br /> Flelh utsh r BT ISZe) — <br /> Usfrrme Rece3vad By {Siratuley uauerT�me TIN <br /> MQUNWOM <br /> t� <br /> ,1� I C f -�-:3 /l!C) i� <br /> Rdm istted BY( Data'TimA (Scgnalule} Oa ime 24 HOUR 0 <br /> ' �,� Q 48 HOUR (of(5ij;ialu une r;zlloy, <br /> (Signature) Datemme rJ <br /> r1cTMFUf jrV* 0dcuna1-Aworrtnan1ss Stsmment Cartery Cuptr Stmwood Pink Copy Sampler NOTE Samples arc dzcardad 30 cWys after resurs are YOportbd urt1049 0VVr arrengemerts are made. <br />