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A & L WESTERN LABORATORIES, INC. <br /> ,. 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-5294080 <br /> CHAIN OF CUSTODY <br /> Client (-C2/US Cf[ T/N� Phone 144)?Address P U• O k 37 6/4/ CC to: <br /> —7—u12L0G/ey ! A zip 9C ?91 <br /> Signature of person authorizing work <br /> under terms stated below' <br /> 'Net 30 days. All accounts past due will be subject to interest arges of 1.5% per month. <br /> 'Hazardous materials are the property of the client. The cllen 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 /> corn i <br /> 4� rG <br /> sAMP ED BY: aturyre): la,,n <br /> REMARKS <br /> ample �4I <br /> type Sample Location <br /> Dale Time p„c co p <br /> Zd P3t) v w/o ? S. /-//IN SE / 2D. 3 <br /> ld by ture): Date Time Received by(signature): Date Time <br /> 1,7/,; k-q0 <br /> Relmquishedby(signature): Date Time Re4ived by(signature): Date Time <br /> i <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 fTTme <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours. <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />