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r.:�<.w: `.-:....nr.; a+•"";,?ria g� .mk.. M, .. <br /> qa.+nn77 <br /> 1 +F" <br /> A & � <br /> WESTERN LABORATORIES, INC <br /> 1X11 illloodlantl`Ade, #�1 I�lbclesto; 'G,�I,If6mkN 95351 Phone 209-529 080: <br /> Z <br /> ' CHAfN OF 'CUSTODY <br /> Phone <br /> Tient �'"'H1:: ., • <br /> ,.: CC to; <br /> Address <br /> zip �.. <br /> 5rgnature of,person,authocrzrig wor4< <br /> unde terrhs•statec)'below <br /> 'Net:3q days: Al! accounts past duesWill be, ublect`to interestaft 5% per month. <br /> Hazardous rrmatelials ere the property of th!e client,:.The client is-re;Spon it4e for:proper disposal of hazardous wastes: Clients not <br /> picking Dp hazard.atis NraS:t:es m,ay;be assessed an agprop'Clate fe`e: <br /> PRQJEQT`ID..: Nb At�IALI'SlS <br /> SAM'PL Y (si t re): tarn= <br /> ers REMARKS. <br /> pe A <br /> s'arnp s '' <br /> tvple;.L.ogation <br /> Date :Tune crab: c°ma <br /> L <br /> A!V �N AI <br /> I <br /> .: .. - r ... . :' r <br /> Relin ' s d bj {si T,irrle R BIVE IMY 51g ature} laic Time <br /> It <br /> R Iv: Date. <br /> a y, F3eiinqutshedb, ignaltuCe) i 7�rfi sign <br /> at ' �- edibY ature <br /> 2 er <br /> { Time <br /> .r , <br /> i <br /> F elin ui hed`b si nat.0 <br /> Rre "` t]ate Tame' E�eleeivedtiy(signature): t7ate Tune - <br /> q $ Y{r g } 7 1 r T l k <br /> L B 1,44 <br /> W. Trriie G�ieCry: d b 45ignature: Hate Time. <br /> Relinqurshedby(s+gnattJrg) [ <br /> - <br /> } Yj <br /> i, <br /> 1, Date 'frme <br /> .,,Re lnqqlv5h;e"dl' V <br /> RelinquiShedFby{Srgnat�tre) 5 :a Date .,T, *i�pe u. glyd by(srature}; <br /> i <br /> •,1c 10 <br /> `'rc e ; le �,rrne 'r rx a, ?P t� bx^; IVI T1 <br /> t <br /> F+nosh:, oral Hour$ <br /> r r a T <br /> .. <br /> � 1 <br /> : <br /> CedreateFxyu�rlrety # raurdr Qr�alr�y �4flafytic ! $ rt,re <br /> w'.x.i„c,�x.era«v.u+...+aas7.wafta�w:a1R�Me <br />