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J _ <br /> CASTLWNALYT �ICAL LABORATORY 7 << t'��, AIN of CusT*' r" <br /> Location 2333,Shuttle Drive, Bldg 908/909, Atwater, CA 95301 Certificate No 2079 _ <br /> , <br /> Mailing Address 2333 Shuttle Drive Atwater CA 95301 - PAGE _ OF ` <br /> Phone 12091 384 2930 Fax (209) 384 1507 <br /> Customer �� t , 1 i REQUESTELI ANALYSES Method of Shipment <br /> Address G I <br /> City/Statelzip �� - - ` r c - c �' b x o z Notes - <br /> Phone ! FAX c - — f iC, -( - w U b `� �, z - <br /> PrOJr# IP0 # C7— (' t ^t 0. e w 'n a `° o v 1 O <br /> Report Attention - _ , t r w a " s `< o <br /> � Eo ►- u; w t a <br /> Sampler 5lgnature g I m - <br /> Printed <br /> Lab IDA' SAMPLE ID _ DATE `TIME DESCRIPTIONMOCATION TInh,C rorr�nnvr <br /> } L� � ` o -12723 ; <br /> ' <br /> 12724 <br /> t TAAL — _ <br /> 12725' <br /> i <br /> , <br /> 1272V , <br /> 12720 '- <br /> if <br /> 2728 - <br /> , <br /> PRE11 RAM <br /> 12729 <br /> Ufflu UI'qiA _ - <br /> 12730 <br /> Total number of oonlainers submitted to <br /> - Signa re Printed Name Date Time Company Name theteborator/ <br /> C ` ;1i v Note All special requests leg quick <br /> ' Relinquished h _ 'r �`� _ turn times}must be cleared through <br /> Received by �1/f•tti r J r c� �Tr j ' '' �� � rr rJrj '" ` ��' authorized laboratorypersonnel <br /> Relinquished by - <br /> Reca'wed by - <br /> Relinquished by ` ,i r RESULTS DUE <br /> Received by VERBAL, { WRITTEN <br /> ='r � � r � �r rrT' � � � � o � � � r . I� , � ■� r. it _ <br />