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Q <br /> CHAIN OF CUSTODY RECORD Bin To SHERWOOD LABS <br /> P.O. BOX 937 <br /> Sherwoo�/ $071 N. Lander Avenue <br /> P.O. Box 937 H�LMAR, CA 95324 <br /> Lah$ Hilmar, California 95324 <br /> L (209) 667-5258 . Attenriorr <br /> CORPOR A T I O N FAX(209) 667-2581 VICKI RUBIS P'7Q"e*209-667-5258 Page j of <br /> Job Number Y.O. <br /> Frq <br /> a Senipters:(Slgnalure) Site Address <br /> �v <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE Q <br /> NEKTtFICATK" (UTMmytm) (Hpt.1Rlm" OF (GRAS OR <br /> COWANER,S composrm) MATRIX <br /> REMARKS <br /> i'YL �a <br /> z <br /> Rue 23 <br /> a <br /> r Relnqui By:(SFgnaeure) UaWriime Received By:(Signature) <br /> Oa]elrima <br /> TUR IMHOUNO TUNE <br /> By:( tire) wft Received By:(Signature) <br /> natta/Time 24 HOUR 0 <br /> J ops <br /> c RegrgLfthed BY(Signature) DatelTrrrieSl 05[&c). t t 48 HMR O <br /> Received Sy:(Sigutne) <br /> 5 DAY)" <br /> DIS7HI6{1TiOIW Original-Aocompanfes ShiprhenDare�me t CanaryC":C :Sherwood Pink Copy.Sampler ` <br /> NOTE:Samples are tlitaarded 30 days akar resuk3 ara reQor4ed unless other arranggrrrents are made. <br />