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i <br /> A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> i <br /> CHAIN OF CUSTODY <br /> Client Phone <br /> Address---R. <br /> CC to: <br /> 7-ip _9_ - <br /> Signature of person authorizing work <br /> under terms stated below` <br /> 'Net 30 days. All accounts past due will be subject to interest cha es 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 /> 1 � <br /> r PROJECT ID �����// No ANALYSIS <br /> V Alv4FGIS Cof <br /> on. a <br /> 4me <br /> at tam• <br /> ers <br /> REMARKS <br /> Sample Location <br /> ;Date i' <br /> .3 �u ru2r 4'F6 e2" Et-D S 4 �r <br /> E R c e - F c <br /> ©-- <br /> Relin is edby($' e): D t Ti e, R ived'by(sign ture): Date Time <br /> Relinqui5riedb :(signaturey Date Time' ce4ved`b'y(signature)r' Date Time <br /> Relinquished by'(signaturej. 'Date Time 3eceived;,by�signature): Dale Time <br /> kJ. <br /> Ffi0hrlquiShedby(stgfkeWrej: T.i:tne 'Date Time <br /> Ftelonquistijdb 6y(sinaigre�; Date Time feceivi?d:by(sighaturef Gale Time <br /> Site Time: 'D <br /> riving Time: <br /> Start. Finish: Total Fours: Start:' 'Finish. Total Hours: <br /> tfte F �l X0,&,,tuolY to P ytfca� eruf��s <br /> i <br /> ,.� �'...1. �J tif{ 1..': •r. 'i k._::..?�3���+�Fh'}ryu tt�.',.LxrA's Merz r�.rfi;q'Sk:. b,tti.I:r',�''t_.. ',�.-�'Si'^ i�Y �`.`�... <br />