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�.,� tllllllll. 1=1 = = W = = M = M = m4r M <br /> CASTLE ANALYTICAL LABORATORY 106 611 XACHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909 Atwater CA 95301 Certificate No 2079 <br /> Matting Address 2333 Shuttle Drive Atwater, CA 95301 PAGEOF <br /> Phone 1209) 384 2930 Fax (209) 384 1507 <br /> Customer V 7 _ I' G1� 3, �� REOUESTF ANALYSES Method of Shipment <br /> Address ) _ .� <br /> City/State/ZIP JIMt - C� v x _ W <br /> ° ° Notes <br /> Phone / EAX r �' z <br /> a 0 LU va <br /> Prof # / P0 # I 114J`t a � wa = m W °° �s 0 <br /> V <br /> Report Attention f <br /> Sampler Signature8 y N CL a <br /> W <br /> PrintedLd <br /> Z <br /> Lab ID# SAMPLE ID DATE TIME DESCAIPTIONILOCATION �s i� 86315 <br /> w� 3-�5-Illy r 3 863161. <br /> ' <br /> } <br /> 86317 r <br /> IL <br /> + -ZS 5'ro 06318 <br /> il 06319 r <br /> + :t.-� 86320 <br /> r t <br /> 86321 <br /> 1 <br /> 86322 <br /> 1 r <br /> r r <br /> ' 86323 ' <br /> gn tUre Printed fume Date Time Company Name L,.) Tolalnumberthelaboraiory tainers submttiedlo <br /> Relinquished by J C y'L , 1 Note All special requests(e g quick <br /> ReceivediecA 33 9 Q JO C turn times)must be cleated through <br /> Rehnquish y <br /> authorized laboratory personnel <br /> Received by Iry 7 <br /> Relinquished byMTIII� RESULTS DUE <br /> Received by fmp MNOITION J JWRITTEN <br /> HEAD SPACE ABSENT CNS <br />