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A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-3080 <br /> CHAIN OF CUSTODY <br /> Client 0-le5, , i/ COl✓IG/,Znf /4 Phone 107 -(65-2 <br /> Address U a�.(C -� CC to: <br /> u 2 z UL zip <br /> Signature person authorizing work <br /> under terms <br /> 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 /> L <br /> �Oa WW/A//�S Cof <br /> on <br /> �� qr <br /> SAMPLED BY: (signature): tain- �P <br /> ers `0- h yL� ; REMARKS <br /> sample <br /> type Sample Location n <br /> Date Time coo comp. <br /> g 7U <br /> Reh u'�(`ished nature): pate Time ec 'ved by(sig ature): j ' t! I / D`te Time <br /> '11Y��� '��' ;____D <br /> ; <br /> Relinquished by(signature): Date Time Received by(signature): to Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date lime <br /> Relinquished by(signature): Date Time Received by(signature): rateTime <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> Dedicated Exclusively to Providing rtuality Analytical Services <br />