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CHAIN OF CUSTODY RECORD VIB111111 To: SHERWOOD LABS <br /> P.O. BOX 937 <br /> 8071 N. <br /> anerwood O ox 93 der Avenue <br /> Hif.MAR, CA 95324 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5256 Attention VICKI HUBIS 'one 209-6667-5258 Pae Of <br /> C O R P O R A T 1 Q N FAX(209) 667-2581 9 <br /> Joh Number P D.x Proled me <br /> Samplers.(Signature) Sile A4dress <br /> I <br /> SAMPLE LOCATION DATE TIME NUMBER TYRE SAMPLE <br /> ODENTIFfCATIOK} {?.tTHADAYIYR) (HOURtMIN) O?F (GRAS OR MATRIX \� <br /> CONTAINERS COMPOSITE) REMARKS <br /> UJAadb Od to yo I iora-b Wafee- ✓ W7- p0/ <br /> -7 /IP 7 <br /> mto- 13 <br /> 4I m ti- It (o ✓ ✓ <br /> �J' 1610 .✓ ,, rt)o7 <br /> � 165 r lei _ GrEp <br /> mow ' 1740 -aD9 <br /> A 3 <br /> Rqut ed 9y:(Signalure DaiaXiime a Reoer:ed 9y:(Signbtuse) OaterTime <br /> TURNAR UNDTIME <br /> 4Ol� �� a a/ O9Cd <br /> �z , <br /> eti ushed V:(Ssgnature) Datw7ime Ned By.(Signawrej baleFrime 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> _ n v stied a <br /> (Signature)( � Y D Mme Ne :(Sgna re) D010rime <br /> DISTRIBUTION: Orsgrrtal•A000mpanses Shipment Canary Copy Sherwwd Pink Copy Sampler NOTE:Samples are discarded 30 days atter resulls are reported uness a wwr ants are made. <br />