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� <br /> s A .& L WESTERN LABORATORIES, INC. <br /> M 1311 Woodland Ave. #1 •Modesto, Califorl• is 95351 • Phone 209-529-4080 <br /> .!. . ..�a <br /> CHAIN OF CUSTODY <br /> Client C f 5 A/2~ (7a A/ 1Ll Phone --- C�-I4 o 3 _ <br /> Address O a X 7 2 , CC to: <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 /> i <br /> PROJECT ID No ANALYSIS <br /> s//�/C, �i �S�n/!�L4 GP of <br /> 11f <br /> Con- <br /> SAMPP4ED BY: (s' n tUle): lain- ,\(Ij <br /> ers REMARKS <br /> ampie <br /> type Sample Location <br /> Date Time Grab comp. <br /> r lSt< y X60.1 5. kA .55un/ 27>. 5AMPZ-,r-- <br /> ZD t 7-.5/(5 7 FV rM <br /> `� fq s'Sis i7aG y. ?CA ScN IZp __X ptdrrlp Ci Ccs s7 i:VIL— <br /> r <br /> Relinyished by i ature): ,Da a Time Rewe d by(signature): 1 Date, Time <br /> Relinquished by(signature): Date Time Received by(signature): ii Date Time <br /> `J <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 />