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� • i <br /> CHAIN OF CUSTODY RECORD 13itlTo: SHERWOODLABS <br /> P.O. BOX 937 <br /> Sherwood 8071 N. Lander Avenue HILMAR, CA 95324 <br /> �l P.O. Box 937 <br /> [�] Hilmar, California 95324 <br /> Labs (209) 667-5258 . A "t1O^-VICKI HUBIS Ph°r'e.209-667-525$ PSge of <br /> C O R P O R A T J O N FAX (209) 667-2581 — <br /> .lob Number P.Q.t Pro ct NaIIre e e <br /> Vol +! O �t � <br /> Samplers:(Signature) Site Address <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE QF (GRAB OR SAMPLE <br /> ODENTIRCAT3MN <br /> ON) (MT,1WDAY") (FLOUR ) <br /> CONTAINERS cotMPoslT>t} MATRIX REMARKS <br /> OQ LtQ Y'o�b ✓ �o � -�� <br /> M 1031 1 ✓ - oat <br /> � g v ✓ v _ oa3 <br /> 3 <br /> Q oos <br /> 0 <br /> 0 <br /> 0 <br /> N <br /> Fieunqjkwd eV!Sown+►+) 4� Dalerrinw ./ �,,�' Race ey:{S aresB a,r�lRrme -TURNAROUNDTIMI <br /> Rau DeEel1-irtk d By:(Signawlrj 24 HOUR Q <br /> aj <br /> 48 HOUR O <br /> ey {Sipruhx») d sy (Signature) Datelrme <br /> a,r <br /> DIS;RKlJTION: OdOinal-A0Wmpanies ShQMent Canary Copt':Sherm3od Pink Copy*Sampler NOTE?SarVea are discarded 30 days after results ares other ar amts e. <br />