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ED <br /> A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> 0 <br /> CHAIN OF CUSTODY <br /> ClientCNS CONJa17Y� Phone 90- 14 <br /> Address r - a �x 3��� <br /> ,p CC to: <br /> �u r LQGI: A Zip %�30/ <br /> Signature of person authorizing work , <br /> under terms stated below' <br /> 'Net 30 days. All accounts past due will be subject to interest char/s 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,4�, /� No ANALYSIS <br /> �f of <br /> yaw <br /> Con. <br /> SAMPLE Y: (Si ): taln- <br /> 640P " ef$ �� REMARKS <br /> sample' \� <br /> type Sample Location (,f0 <br /> Date Time „a Como. <br /> TIT <br /> 173P r F7- ?( x <br /> Relin i ed by( re): Date Time Received by(signature) Date Time <br /> i <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 /> 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 />