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l= � � � � r � = M M M mb = <br /> CASTLE ANALYTICAL LABORATORY I <br /> Location 2333 Shuttle Drove, Bldg 9081909, Atwater, CA 95301 �"�r, CHAIN •F CUSTODY <br /> Marling Address 2333 Shuttle Drive, Atwate(, CA 95301 Certificate No 2079 <br /> Phone (209) 384-2930 - Fax f209) 384 1507 PAGE____I_OF� <br /> Customer L tint 1C" « ?f "` <br /> 3 v REQUESTED ANALYSES Method of Shipment <br /> Address {"j /VC•,-y L gli� <br /> City/State/Z1P tC C k' C T� \ xPhone / r=AX '�' r E r s a -, 2 ¢ Notes <br /> Prof # / PO # - a = w W - '� <br /> Report Attention �L W a o ° -* � NR = � =i <br /> Sampler Signature a E N s F F I,� o r-, t I- <br /> v o to i cc 't z�.: E-• <br /> Printed `C� F f °Yr 3,8 27-`,' <br /> '� �♦rF,j� iy yA f ��,��� <br /> Lab 1D# SAMPLE ID Z <br /> DATE TIME DESCRIPTIONILOCATION <br /> > Mt, -25 r rys 389-,r__ I <br /> �-��;�`_`�`�'`;��,� <br /> Sr i $ _ ll <br /> <9'381O- <br /> iw- <br /> I <br /> g ature PrintTotal number of containers submrtted to <br /> Printed Name Date Time <br /> Relinquished by � u L( j L,yam� � ,� � Company Name the laboratory <br /> 1 I Note All special requests a nick <br /> Received by p q ( g q <br /> ttA turn times)must be cleared through <br /> Relinquished authorized laboratory personnel <br /> Received by �J <br /> Relin � <br /> quished by �' �. Pw ,C �fi.(� AS <br /> Aecerved by 1" t,� RESULTS DUE <br /> ti VERBAi WRITTEN <br />