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California Water Labs, Inc. <br /> P.O.BOX 4249 <br /> 1430 CARPENTER LANE —SUITE G <br /> MODESTO,CA 95352 <br /> PHONE"(209)527-4050 <br /> Purveyor �Q SS�I SOy52f/Wf,5' frn /v�Q4tr Lab I.D. <br /> Street 6"333 POS�T L A��� Purchase Order <br /> city A-VOC OYO Cpk_ Zi P— 0 Referring Lab <br /> Sample I.D. Date Collected <br /> Collected by: Gf= re- <br /> --------------------------------------------------------------------------------------------------- <br /> L— D -8 <br /> F-42,594 -Jzw/G L C j o « /l = o <br /> P-48695 0 <br /> un/L. <br /> Date Received <br /> Date Started 1/- <br /> n^ Date Completed 'f- 3/-fi? By: <br /> �IIII�I <br />