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CASTLE ANALYTICAL LABORATORY 1167 6 Q)04G1 CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater CA 95301 Certificate Na U79 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE OF <br /> Phone (209) 384 2930 - Fax (209) 384 1507 <br /> Customer O INP—A 17 (--r_ REOUEqTEOIANALYSES Method of Shipment <br /> Address co S U3 <br /> CItylState/ZIP L C .e� <7s S Q' '—` 4 C z <br /> ,;, y o: � i Notes <br /> Phone / FAX ° < <br /> 209 6 7-(Cr6 4 7- f( (k s z <br /> W o 2 v W � m 0 <br /> Prol # I P O # — a �, a o v v <br /> Report Attention Ui Q 2 v a s o <br /> d <br /> Sampler Signature U' yCo <br /> m ~ ~ <br /> Printed � N �y z <br /> rl <br /> Lab ID# SAMPLE 10 DATE TIME 0ESCR1PTIONILOCATION ' OBSERVATIONSIREMARKS <br /> w6_35' c 211 >11 <br /> MUJ 7 _ 30 " 1 { <br /> Total number of containers sub ed to <br /> Signature Prlrlted Name Date Time Company Name the laboratory <br /> Relinquished by 1 7 rJ Note Ali special requests( g k <br /> Received by ��4G C t n times)must be cleared hr u h <br /> 4tp thorned laboratory perso I <br /> Relinquished by <br /> Received by WAS I ON I METALS Tk <br /> Relinquished by <br /> RESULTS DUE <br /> Received by VERBAL WRITTEN <br />