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A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-5291080 <br /> 0 <br /> ^I, ! 1 CHAIN OF CUSTODY <br /> Client `'f'I �7N�7 W/�f/{./LT/&4__ Phone <br /> Address �- ` 13�,K ''y[.q- CC to: <br /> Trdfz o & e- A zip !�S�dL <br /> Signature of person authorizing work B L <br /> under terms stated below' <br /> 'Net 30 days. All accounts past due will be subject to interest charges 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� N <br /> ANALYSIS <br /> ID / <br /> I"4 N// 6 � o. J(/ <br /> of r� <br /> Com <br /> SAMPL BY:ptr farmersREMARKS <br /> sa, le Location <br /> Date Time aaeNe w T7 <br /> Relinqui by(sig r pate Time Recejvedby(signatu e): ale Time <br /> �. <br /> Relinquished by((( i nature). Date "lime Receiited by(Signature): Date Time <br /> Relinquished by(signature) Date Time Received by(signature) Date Time <br /> Relinquished by(signature) j Date Time Received by.(signature)-. Date Time <br /> Relinquished by(signature): Date` Time Rece lved by(signaturep. Date Time <br /> Site Timer Driv i ng Time: <br /> Start Finish: Total Hours: Start: Finish. Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />