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CHAIN OF CUSTODY RECORD &ilTc: SHERWOO© LABS <br /> RID. sox 937 <br /> 3herwood 8071 N. (_ander Avenue HILMAR, CA 95324 <br /> P.O. Box 937 0 <br /> Hilmar, California 95324 <br /> .abs (209) 657-5258 ^� <br /> ACanLan:VICKI HUE11$ ona:209-687-5258 Pae Of <br /> C O R P O R A T 1 0 N FAX (209) 567-2581 g <br /> Jab Numttet Project Name rn <br /> GTI ALLEY WHOLESALE DRUGS t7 <br /> Sartylem(Signatne) Site Address <br /> �v <br /> SAMPLE LOCATION DATE TIME NUMBER TYRE SAMPLE <br /> (IDEWIFICAMON) (MT)40AYNM (Ht7Ul MIN) OF (CRAB OR MATRIX <br /> cor muss oaMpasrre) REMARKS <br /> + 5a oL <br /> - <br /> Z79-3 <br /> _ ,r <br /> O <br /> Rewqui ed By:(Signa Deteltime Received By:(Signature} <br /> llatsiTime <br /> �6 -0.2� yy �� �F`�_� IURNABOYNORME <br /> Re6n d 8y:(Signasure) DatsfTmre a�� pceh4ad <br /> .(Signature) DaterKMs 24 HOUR 0 <br /> �s w,F,W <br /> Gid SY (slgnawa) ut�e .( ' nature) DateMme <br /> 6DAYD <br /> DISTRiBUTIOhi Otlglnat-Aoaompariles Shipment Canary Coot:Sherwood Pink Ca Sampler 1 <br /> Pa't P NOTE:Samples are discartte+d 30 days at�t resuHtl are reported unless other arra`ngemems arc made. <br />