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0 0 0 1 . <br /> CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive Bldg 908/909 Atwater CA 95301 Certificate No 2480 f <br /> OF <br /> Mailing Address 2333 Shuttle Drive Atwater CA 95301 PAGE !_- �_ <br /> Phone (209)384-2930 - Fax (209)384-1507 <br /> Customer H/�� �� 1�/�Ja/NL� REQUESTED ANALY$fS Method of Shipment <br /> TD 4, w W Sp MPLe� <br /> Address 3Ll Z S <br /> 1�`0 � y O LL lit <br /> City/State/ZIP 4/1/ C .5Jy3 N a 0 W a Notes <br /> Phone/FAX Zq / '7l Z OSY �' a 0 Z S ru N+a�� <br /> a cc a p,►�ItJNQ <br /> Pro)#/ P O # 0 (1 G�.��1 N a a ❑ q o <br /> Report Attention 11CC ✓L�i-G ~ o - N <br /> W v W a O �� W <br /> Sampler Signature ¢ 3 � n r ~ y e <br /> Printed /L1 11,46 VZ ACS-/ � o � � Z <br /> Lu <br /> Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION "A S OBSERVATIONS/REMARKS <br /> bby cpT /Ss 1 !Q-Z/-�S 9'=2S4 GP�r� s5. S K X x _L c 5/1--r <br /> ► S N n <br /> to / � + ' <br /> cp>•" "'Z�,�a-z/-ds ►n C"%d r x'70 gz' 2 W 14 VOAS, H-&° <br /> 1 9 to�.� !l. GPr / 9 5 yC rC K 1 CLl4 E S)COI <br /> Va gas ° <br /> CPT Z yG 1 •O/ft 4070rZ _1 S K X < j CL 911--r <br /> Cir 2 -.-6vW 76 S'/ XI IKIA Ix y ops Hz O <br /> +-2 Pd r 16,2/--Or 3: i� X K 7"2 d' s X x t Gc.�4 51 L <br /> C0 Z 9y/ 10-21-Or *Z w! C-07 _Z- qt1' S X JC x f S�4r1D Sr 7' <br /> b-21-0 �: �h 2 `bio/� 1 X X K X <br /> i <br /> Total number of containers submdted to <br /> Signature Printed Name Date Time "., Ca tam the laboratory <br /> Relinquished by / G/� Ly r �`►�/LL �.vl./NE`L � Note All special requests(e g <br /> quick turn times)must be cleared <br /> Received by through authorized laboratory <br /> Relinquished by personnel <br /> Received by <br /> � Relinqursh by RESULTS DUE II <br /> Received by fZ. VERBAL WRITTEN <br />