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AtLA & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> CHAIN OF CUSTODY 7 9 <br /> Client �A. <br /> t/ r +{7 lt.ESEAP—G -f Phone <br /> Address [! K � _ CC to: <br /> fa(f?LOU CA Zips0 1 <br /> Signature ofperson authorizing work <br /> under terms stated below' <br /> `Net 30 days.,All accounts past due will be subject to interest charges 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 /> 5 <br /> PROJECT ID No ANALYSIS { <br /> ofCon- <br /> SAMPLED-',BY- <br /> SAMPLED;BY: (sign r ): ainers P <br /> l F <br /> ��- Lq REMARKS <br /> sampie <br /> �� <br /> type Sample Location r <br /> Date Time G,an camp V <br /> v 21 4) X ''G, O f 3A A MA <br /> 944 4 5. F5AN-rA <br /> 4 <br /> Relin 1, hed by( nature): D//ate Time Received by(signature): Date� Time <br /> r, �f� <br /> Relinquished by(Signature): Date Time Received by(sig4tur ): Date Time <br /> v <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> i <br /> Site Time: Driving Time: <br /> Start: f=inish: Total Hours: Start: Finish: Total Hours: <br /> Dedicated Exclusively to Providing Quality A"naly.tical Services <br />