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P -'Y7. Y <br /> A 6 L iWESTERN LABQR►.��TO'RIES, INC. <br /> X1311 Woodland Avg #1 • Nfod�stor Gal' <br /> M Ifornia', 5351 • Phone' 209=529-,4080 <br /> CHAINP <br /> "F CWTO Y <br /> �.. <br /> client <br /> , ~ r <br /> y : <br /> phone <br /> AddressCC C ' <br /> r <br /> r ; <br /> .':�",�` <br /> a. <br /> oi <br /> Signature of person authoyfzmg vuo'ik <br /> . LL <br /> under terms stated.beIdW, i <br /> 'Net 30 days Alf accounts:past du;e will tie subject to in prest urges of 1 5°Y° per mgnih t <br /> 'Hazardous materials are ktie,property of,the clier �The eltent is responsible fob:proper°.disposal!of trazardous;wastes. Clients tiot <br /> ,pibking up;hazatdous wastes may, be Ssessed pil app'roprfate <br /> PROJECT ]D ANALYSIS E <br /> SAMA estures: fain <br /> ItA <br /> ers <br /> l REMARKS <br /> sample <br /> arpE 'Sample location ;{` <br /> Date' <br /> Time <br /> - '' . . �. �. <br /> LL <br /> ; <br /> Relfn s d.by(Si r } dt Time ;`Rece.wed by(Signature)-' Date Time <br /> Relin wished b si nature <br /> ,. ate Time Received by'(s;ignature): Date Time` <br /> a Yi g <br /> Relingirishedb.y(signature} Date "Time <br /> Rece'ivedby(signature): date Time <br /> Y(. g } Date Time <br /> Relinquished by{signature} rate 7tme Received b si 'nature <br /> Relin gi'shed by(signature) ©ate 1j,Te. Received by(signature); Bate. Time <br /> q <br /> ` SiteTin-ie": <br /> Start.° Ftnish: Total Hours: Start'. Finish: Total Hours; <br /> Dedicated EXclusrvely to:Providing Q'uali.fy Analytical Services <br />