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u. <br /> A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1. • Modesto, California 95351 • Phone 209-529-4080 <br /> AIL. <br /> CHAIN OF CUSTODY <br /> Client 7 Phone y1el&_L4-0 <br /> Address CC to: <br /> Zip / <br />} Signature of person authorizing work <br /> under terms stated below' <br /> `Net 30 days. All accounts past due will be su ject to interest Ziresponsible <br /> es of 1.5% per month. <br /> 'Hazardous materials are'the property of the client. The client for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. <br /> PROJECT ID No. ANALYSIS <br /> N Co� <br /> SAMPL BY: (5i t e): ens (� REMARKS <br />� samp e <br /> type Sample Location d <br /> Date Time limb Como. <br /> $a0 x X .F JX K X X c' <br /> S :$ <br /> ax l XKlsTin/ G �tcf� i � <br /> �ZIS X x Y,-- <br /> 01S 1 <br /> S / 2 4 E 72 <br /> Relin I tied by. :i ure): D t, Time Re ive. .by(sig ature): Date Time <br /> 4 <br /> Re inqwIshed (§ignaturej: tate 'Time R eived by(signature): Date Time <br /> RelinquiSfaedpy{signature);. Date Time Rece'I.ved`hy( .ignature) Daze Time <br />. k <br /> i - <br /> Fii511ttc�utshed b (slgrlatbxe3 Date 7tme Received:by{s+griatuYeJ: Date Time <br /> Fielmqui Hea by(si jnalUrej fate Time f,ecetve[I:by{Sign tUre). Date Time <br /> 5it�Tlrr�er riving fiime <br /> Start Fmtsh Total Hours'. MartIf11sh: Total Hours: <br /> I dedreafe� xe�usrvIy 10 Proutdl>lg Qulrtyn�1yt'toal Services <br />