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� � � � � � � � � � � � � � i• iiiiiiiii. � tllllll� <br /> CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> pAGE�OF� <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer ���, � � C, REQUESTED ANALYSES Method of Shipment <br /> Address �' (,J a W C'+ItM <br /> 0Van n/ <br /> City/State/ZIP o y a a Nates <br /> ~ o tu Z <br /> Phone 1 FAX — 1 W 1 z W CL N �_ a <br /> Pro) # IPO # p -j a w <br /> J O x <br /> 0. <br /> Report Attentiona E m 23911 <br /> s ' <br /> Sampler Signature Q j ' <br /> Printed _ 23912 <br /> { <br /> Lab ILIA SAMPLE ID DATE TIME DESCRIPTIONILOCATION { <br /> ,1 -1o 2041t-� 6 L 23913 <br /> 3 1#3 1 23914 <br /> 23916 <br /> I 13 ,V 1 23916 <br /> 6 Vj `zX 23917 <br /> VW 13 0 - <br /> 23918 <br /> 23919 <br /> T <br /> k <br /> r - T <br /> Total number of containers submitted to <br /> ture Printed Name Date Time Company Name the laboratory <br /> `00 Note All special requests(e g quick <br /> Relinquished by ` tum times)must be cleared through <br /> Racsnred by /Zr'ZeA +� authorized laboratory personnel <br /> Relinquished Vqas Q&�l �AL5 Ol�U� ' <br /> Received by b+� RESULTS DUE <br /> Relinquished by Wo im PRE! LIN <br /> VERBAL VRmmK <br /> Received by k3l A)LOU=I lult A <br />