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•rs�•; a - •r:-�-.'s^rt-w '�'ww., f#tr^ =f.: :q +fin:.... � .f w--,. .� <br /> . A & L WESTEI U.LABORATORIES, �N�:. <br /> 1311 Woodland Ave: #1':, M'od'estor:CalifbmN6 95351" * Phone 209-529-4080 <br /> •�FxMAMMlMAL INGVin!4 § f,'��: � -t5 yS �� �" ¢x _ . <br /> CHAIN OF CUT0DX <br /> Client � <br /> l'r' +�l Phone <br /> "r � ? - <br /> , � , <br /> •. Address � ' <br /> CC to <br /> t Signature of.person authorizl.ng.Work <br /> under,terms 5tated.below' '. <br /> 'Net.30days:.All..accounts".past d'ue will.be.s.ubiect.=to Interest,gh . es of 1-:5% month. <br /> •Hazardous nnateriats.are the'prop.erty of the'dien`t..Thecllent i "Te.sponVib'le fo'r..proper-disposal of hazardous wastes. Clients not <br /> picking.4p hazardous w,Wes may be ass.essed.an;approp,riate free. <br /> PROJEQT- ID " ANALYSIS <br /> k <br /> No <br /> . <br /> GOn �vi1 <br /> ure) tale <br /> ers <br /> REMARKS <br /> �. sam.Ple <br /> type Sample Location <br /> s <br /> Date Time <br /> : <br /> : <br /> f ,fiddy f"` 0,X1 rlr4!" <br /> : <br /> : <br /> : <br /> y <br /> p,. <br /> Relln09d:by 'i f): .s at" T ,:a geceru�d by(srg0a€u Date Time <br /> : <br /> w <br /> , <br /> r Relinquls.hed by(signature)', y " Diate Tune Receivedb {signature); l"ate Time <br /> Relin`quishedby(signature)_ Date Time rFieceivedby�signat:ute): Dake Time <br /> ellnq"6i L <br /> R.. <br /> shed signature Date Time Receive. $y(sig;n.atu.re); " . " Date Time <br /> Relinquished by',(signature):' Date. Time ', Received b:y(signsture): Date Tune <br /> Site Time. Dr.I:Ving Time. <br /> Start: Finish TotatHours.;,,;. _ Start. =iriish: Total'Hours. <br /> Dedicated Exclusively to Providing QUality Arialytr,cal:'Services <br /> .._ � . .::::... .:......t.w.d.�.....+..e'ww...wr.:b:.u.w.,,a.m•,...�w�.v � .,y.. ....".;... r. :. .. . <br />