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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 /> Client rN�SNE y CO/�$GlL �!N(� Phone <br /> Address F SO)( 3-7qf CC to: <br /> TuRtouV , ( A zip g53O1 <br /> Signature of person authorizing work <br /> under terms stated below' ki '�1 <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 /> of r` <br /> � 5T PF L/N F_S con- <br /> SAMPLP BY: (signature): tai"- <br /> i fin. / ers rQ �\ L(i PJ REMARKS <br /> 1.�b"N \4 Q n�V <br /> type Sample Location / <br /> Date Time one IComd <br /> -3z 1.,401Y Tr--2 A cE I I X 1 X X y K Y1 I WEST LiEACLir IEG <br /> 32� zap E G - ,47q r acf x X X u r 57 E F �GIJ <br /> PI .ASE PELAIi,17WA-7FZ <br /> sll T <br /> Re ished by I re): D to Time Receyred by(signature): Date Time <br /> 3 <br /> Relinquished signature): Date Time ReGgived 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 /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />