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I <br /> A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> Y <br /> CHAIN OF CUSTODY <br /> Client -Live {0 � /�SGfLT.iA/ Phone <br /> - <br /> Address ' 57 _ CC to: <br /> Zip S� J <br /> Signature of person authorizing work <br /> under terms stated below' <br /> 'Net 30 days. All accounts past due will be subject to interest c ges 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 /> of ` <br /> Con. <br /> SAM%PV/'E,D BY: (s' re): rain- �� �P <br /> ers � L a REMARKS <br /> S pie <br /> type 5 ple Location <br /> Date Time Gat. Caep. <br /> fvo LIATLEI ( X, X PLUME D�CA .a F Wn TF <br /> 2vrr� S!�T <br /> Relin is�ed by(si an Tim Reived by(signature): Date Time <br /> Relinquished by(signature): Date Time R eived 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 /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />