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CHAIN OF CUSTODY RECORDBat T. <br /> PL <br /> 37 <br /> tnnt <br /> 8071 N Lander Avenue �' <br /> Sherwood PO Box 937 <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Atteq! Pr age of <br /> � -i <br /> 44— C O R P O R A T 1 O N FAX(209) 667-2581 6 <br /> >no Number Por P Name DAT11 �i .SEE <br /> � <br /> Samplers {Srpneluro) 1 p � <br /> a <br /> TF <br /> r NUMBER TYPE C� <br /> SAMPLE LOCATION DATE TIME OF taRAaoR SAMPLE 4y ��W 2, QS WEST. LAS <br /> pOENTIFICAT1pN} (MTWWIYlYR) {HO(JWMM) Co OF <br /> COMPOSITE) MATRIX & `� REMARKS <br /> Q,' mw—tl <br /> a� m <br /> o MW - <br /> �c m — <br /> titi <br /> {t <br /> 13 — 44�i <br /> Reh uist,ed (�]Skn/alure) O fu} a n �} Aecelved By (Signature) Data?ims <br /> Rerinqu ed By{Sigaelute) Da,alTtme RecowedBy(srgrtature) Dateffime 24 HOUR ❑ <br /> 46 HOUR ❑ <br /> RcUnquOidd By-(S gnature) PatelTate Received By (Signalure) DateJTime 5 DAN>QV <br /> ui P4� ��,.,�� �� frs� �cs1+Sjk �' (vav �N / �o/IrA two <br /> } <br /> plSTRtBIlTION orlguul Aoeanparrles Sh,prnenl Canar!Copy Sherwood Pints Copy Sampler NOTE Samples are discarded 30 days anter results are reported unless other prrargernenta are taada <br />