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w w_ w w ■�■� w w ■w l_ w■ ww � r_ <br /> 0 <br /> CHAIN OF CUSTODY RECORD Bill To SHERWOOD LABS <br /> P O Bax 937 <br /> 8471 N Lander Avenue HILMAR, CA 95324 ro <br /> Sh ww0d P4 Box 937 <br /> Hilmar, Callfomia 95324 3) <br /> Labs (209) 667-525$ Atmnaon Phan 0) <br /> C O R P O R A T I O N FAX(209) 667-2581 VICKI RUBIS 209-667-5258 Page of <br /> Job Number PO Y Pro acne su <br /> Samplers (5gnature} Srla Address <br /> �Pv <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE P <br /> (IDENTIFICATION) (1uRWDAYfYR) (HOUF;1MtN) OF (GWiB OR MATRIX <br /> CONTAINERS COMPOSM REMARKS <br /> D <br /> Z <br /> u1 ru <br /> U <br /> co <br /> CD <br /> _ D <br /> Ito <br /> i _ I , - <br /> m <br /> RalrnquIs By(sign ahueJ aatwTir a �aQ(� N6cenred By{5r�nalur2t Date�Time TUfl AROUND T-1M—F- A <br /> Relrn rsheP91-2 <br /> (Signature) DateiTims (Signature! OaterTi a 24 HOUR ❑ <br /> o1� 1f 48 HOUR ❑ <br /> 7 CD <br /> rnquahed By (Signature) Datemme 76- By (skgrtatum) Darelr e 5 DAY4 <br /> DISTRLIBLMON Ongaml Aecomparaea Shipment CanaryCopy Sharwood PIAk Copy Sampler NOTE Samples are cfamrded 30 days after Tesuhs are reported unless other arrangeaterrts are made <br />