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' A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> CHAIN OF CUSTODY <br /> �rentCN�S>,I} y CDsdlGttTiNC 02 — 2 <br /> /} 7 Phone <br /> Address— CC to: <br /> f• p l� �C �7�J'�- <br /> ' -' <br /> Dw x t-a,, lG I CA Zip 71-3i, <br /> Signature of person authorizing work <br /> under terms stated below* <br /> 'Net 30 days. All accounts past due will be subject to interest charges of 1.5% <br /> 'Hazardous materials are the property the client. per month. <br /> picking up hazardous wastes may be ass The client is responsible for proper disposal of hazardous wastes. Clients not <br /> sessed an appropriate fee. - <br /> PROJECT ID <br /> No ANALYSIS <br /> / of / <br /> SA P ED BY: i t re): taro.- <br /> ers <br /> ample REMARKS <br /> s <br /> type ample Location <br /> Date Time s.b C.P. <br /> x <br /> Reli u' had by(si n e): �at Time R eived by(signatu e): <br /> Date Time <br /> yd /c <br /> Relinquished b gnature): ate i (141 i A <br /> Time ...c�eived by(signal e): <br /> Date Time <br /> Relinquished by(signature): Date Time Received by(signature): <br /> Date Time <br /> Relinquished by(signature): Date Time Received by(signature): <br /> Date Time <br /> Relinquished by(signature): Date Time Received by(signature): <br /> Date Time <br /> Site Time: <br /> Driving Time: <br /> Start: Finish: Total Hours: Start: <br /> Finish: Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />