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A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 a Modesto, Califomia 95351 a Phone 209-529-4080 <br /> /� CHAIN OF CUSTODY <br /> Client CN>`SNE � C0A&1LT//vL-7 Phone eQa <br /> Address P 0 - 73OX � 14TA CC to: <br /> Tw2tairJC 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 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 No ANALYSIS <br /> PQeST AJ Pi1Q L!/l/CS of <br /> a� <br /> SAMPL BY: (si ature): lain- 1 <br /> ers '��4v�(�� REMARKS <br /> same e <br /> roe Sample Location <br /> Date Time m.e cm,n. <br /> 3 Z7 1/ 1EL l ( ' F I E L T) <br /> }I 7 /2 ro V 5 u- x <br /> ,17- 12/5' -Z X <br /> Fell shed by ure): �att Time Rags??ved y(signature): Date Time <br /> Relinquished by(signature): Date Time Rec6ived 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 /> Stan: Finish: Total Hours: Start: Finish. Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />