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A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, Ca{ifornia 95351 • Phone 209-529-4087 <br /> CHAM OF CUSTODY <br /> Client—• nr� F/1f Lf/A� E7/L4 fw _ Phone '649- <br /> Address_ goilic 77,74 r $" <br /> CC to_ <br /> "%G(rtLoL - l/E rp <br /> Signature�=C'f"' past <br /> under terwg stated b'IVet 30 tla s. Aticcounts daewift be subject to interest am of 7.5% per month. <br /> Rarar z;enal9 are the,property of the Cffent. The crfew is,responsible for proper disposal of hazardous wastes. Clients not <br /> pi rkmg wastes may be assessed-aw aptuepriate fqr. <br /> PROJEeT to ' - No. ANAALYSI-S <br /> / of <br /> - <br /> SAMPLEn : (Si Conrain, <br /> ers REMARKS <br /> samP, <br /> Nve <br /> [Date Time Sample LbcatioR a.m cameo <br /> - <br /> 7 F <br /> 71 9- N WA RF S <br /> A <br /> tM' Time -by4rgRetu to Time <br /> 4D & 777/f ReYlnquishedignaturey: - Time Received by(signa urea.. Date Time <br /> Retinquisnedby( Wsla flats Terse Received tly{si9rratumt Date Time <br /> Retinquished by(Sig nature): Date Time Received by(sigreturey.:- Date Time <br /> Relinquished by(stgnahrray - n_•^ Time ReeewedbY:Wgnahm* Date Time <br /> eAe" Driving Time: <br /> Start: Finish' total Hours: Start: Finish: Total Hours: <br /> y- <br />