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CASTLr_ ANALYTICAL LABORATORY CHAIN OF C U STO D Y <br /> Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 Certificate No. 2480 <br /> Mailing Address: 2333 Shuttle Drive,Atwater, CA 95301 PAGE OF <br /> Phone: (209) 384-2930 - Fax: (209)384-1507 <br /> Customer: ,? zr {, c REQUESTED ANALYSES Method of Shipment: <br /> Address: z t <br /> City/State/ZIP: E o a Notes: <br /> Phone/ FAX: i 'Al r— <br /> ,' w _ a — Qa <br /> v <br /> Z <br /> cw a oProj#/ P.O. #: '' _ V w U <br /> W a)Q g Report Attention: oa <br /> LLJ <br /> eol <br /> p <br /> JE ai � w a a <br /> Sampler Signature: g N P � w qZ C m <br /> �_ a v m 0 <br /> Printed: )!� A t_ _a _; t U) z <br /> ° W <br /> Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br /> 32 f 1! <br /> F- FTI <br /> Total number of containers submitted to <br /> Si nature Printed.Name Date Time Com �n Name the laboratory <br /> Relinquished by: � jc-i/ ! f <br /> �"1 `"�p, r �ja; ,• Note: All special requests (e.g. <br /> Received b t - quick turn times)must be cleared <br /> y: 1''v ` �y �'`�" n' ''`` �' through authorized laboratory <br /> Relinquished by: personnel . <br /> Received by: <br /> Relinquished by: RESULTS DUE: <br /> Received by: VERBAL WRITTEN <br />