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vim- vJ �J - U <br /> ff <br /> � A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> 0 <br /> J� /' CHAIN OF CUSTODY <br /> /'ff /7 /L <br /> Client l..� �-fA�yy C.-eAdUL7/It��, Phone ��sr� Y✓ /T�3 <br /> Address P—. i2 • J5PX 3794 CC to: <br /> TurzL�GC zip 95381 <br /> Signature of person authorizing work <br /> under terms stated below' L <br /> 'Net 30 days. All accounts past due will be subject to interest char/s 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 /> PROJECT ID No ANALYSIS <br /> 506 ETr <br /> Con- <br /> SAM 4L BY: sl a re): rain- <br /> /C�yqJ(j7� ern REMARKS <br /> sa ple <br /> type Sample Location <br /> Date Time Gie come 5 2 2- 2.0 , <br /> 141if tJ D/Ei✓T DN- !2So�c <br /> Z ! P R nlG,r)- 1 S n« <br /> 5 2 2 2 1 <br /> Relin l hed b re): Da Time R6ceiv by(signature D to Time <br /> Relinquished by(signature): Date Time eceived 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 />