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A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209.5294080 <br /> CHAIN OF CUSTODY <br /> Client e1" ,L56 06eZ 7/" Phone 1A0- <br /> Address P " —3713-4- CC to: <br /> rY rL L c),—, (A zip s f <br /> Signature of person authorizing work <br /> under terms stated below' <br /> 'Net 30 days. All accounts past due will be subject to Interest (arges 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 /> PROJECTID No ANALYSIS <br /> // Gjh AI 5'Adf/r, c of <br /> Con- <br /> SAMP ED BY: nature): Iain- <br /> r� � ers � REMARKS <br /> amp e �k'V <br /> type Sample Location <br /> Date Time Giie comp. <br /> -W sues r x <br /> x2. x x <br /> z D !poi 1 h' I x <br /> r } <br /> Relin i/shed by(s re): qat Time Receive (*j-q pj: Date Time <br /> Relinquished y(signature): Date Time Received by(signature): Date Time <br /> t 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 /> 1 Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> f Dedicated Exclusively to Providing Quality Analytical Services <br /> I <br />