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©2 -o3S -Mz . <br /> EDA & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> CHAIN OF CUSTODY / <br /> Client C6!fh SfAl (OAl5 (L /!-/4Phone 4✓//®� 1403 <br /> Address P. ig • aox 379-I- CC to: <br /> CA Zip <br /> Signature of person authorizing work <br /> under terms stated below' <br /> 'Net 30 days. All accounts past due will be subject to interest char sof 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 /> C3oLof <br /> Corr <br /> SAMP D BY: ( ' i ure): rain <br /> ers REMARKS <br /> sample <br /> type Sam/e Location <br /> KatTime mze .— <br /> 1030 X DC .V " i N <br /> D -1 f3 7 2 5, 5 WA r ENi <br /> - CAi <br /> I <br /> SC /0 X C5 7 2 5 6 1r a <br /> Relinq Riled by is re): ,Dgite Time Received by(signature): Date Time <br /> Relinquished y(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 /> 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 />