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A L WESTERN LA OC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> CHAIN OF CUSTODY <br /> Client C145 �N�uL T ! <br /> Phone <br /> Address a� CC to: <br /> -7—UR <br /> 7 — Zip <br /> • Signature of,person authorizing work <br /> under terms stated below" . <br /> 'Nei 30 days. All accounts past due will be subject to interest ch es of 1.5% per month: <br /> 'Hazardous materials are the property of the client. The client is responsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. <br /> PROJECT ID <br /> -5/V <br /> t / No ANALYSIS <br /> / 'Il�T1 of <br /> con- <br /> SAMP 11Y.'(Si ' re): � tain- <br /> ers / REMARKS <br /> Sam le <br /> V _ <br /> Date Time type Sam ie Location <br /> G'ab Comp: - <br /> 0 g¢r WEST EEP <br /> IN I?/,o Af1b,1k-FQ0,C1,LV4 lie OLE13 <br /> (1 3 a ^ 4-7-'r EA RJ SIJ 2" P <br /> 0 Sr X T R►nJ <br /> D /01)0K — yC T .t7vN . 14 E�, <br /> t1 IAO W -Z X WAST / ' g <br /> o Deo X Z` �[ A a <br /> Re q ished by re): ate Time c ive <br /> by(sign ture): Tate Time <br /> Relinquished by(signature) Date Time, e eived by(si.gnature): . 'Dae Time <br /> Relmquishedby(signature) Date Tim <br /> Received by(signature): Gate Time <br /> Relinquished by(signaEure) Qate. T'ime <br /> Received by(signature): Hate Time <br /> Relinquished by(signature) !]aie Time Received by(signature.y: <br /> r <br /> date :. . , <br /> i Time , <br /> F,� $iteTime:. Drrving.Time.. <br /> Sfart: 1 ihish Total Hours : 3ta�i Fnisti Tofal Hours <br /> Dedicated Excldsively to:Pravidrng.Qualrty A°rralytr'cal Services <br />