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CASTLE ANALYTICAL LABORATORY .� , CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No. 2079 <br /> Mailing Address: 2333 Shuttle Drive, Atwater. CA 95301 PAGE_J OF_/ <br /> Phone: 1209) 384.2930 - Fax: 1209) 384-1507 <br /> Customer: ( ` REQUESTED ANALYSES Method of Shipment: <br /> Address: 4005 Oar•1-1.1 U), k)0r1 V1 cjV s rnCA UVC, .rG <br /> City/State/ZIP: -o - d oc <br /> . U 41 x f; w <br /> Phone / FAX: A o _ I LOOL� < < - _ ily B.4 - 3 w F Notes: L'e�tt( 1Z[e�:./AC� <br /> WS n V x w w m zo SCA{td 4X;1-A A 4 <br /> Proj a / P.O. a: _# .g a �° o d 0 <br /> Report Attention: w g ° a rc o <br /> It <br /> a E `9 m ~ t- w <br /> Sampler Signature- S m <br /> Printed: <br /> Z <br /> Lob IDX SAMPLE ID DATE TIME •DESCRIPTIONlLOCATION 08SERVATIONSlREMARKS <br /> a 3-(.-`i8 �► <br /> 86598 <br /> 86899 <br /> METALS OTHER <br /> _n oniliali <br /> V_ AFFROPRIA <br /> Total number of containers submitted 1 <br /> ick lure Printed Name Date Time Company Name the laboratory <br /> lelinquished <br /> elinquished by: ,� r 7 ) :Lw <br /> H�4 I <br /> �� - L Note:All special requests(e.g.quick <br /> turn times)must be cleared through <br /> ecefved by: 3 1 ��/� at <br /> laboratory personnel. <br /> by: <br /> aceived by: <br /> elinquished by: RESULTS DUE: <br /> Received by: VERBAL WRITTEN <br />