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A & L WESTERN LABORATORIESs INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-0080 <br /> CHAIN OF CUSTODY <br /> Client LN� NSU CONSUL r/ry�, Phone /�/9- 140? <br /> Address r- 0 - 6OJC Z9-4 CC to: <br /> T{ RLOC_/c, (-A Zip 15391 <br /> Signature of person authorizing work "�� <br /> under terms stated below' <br /> 'Net 30 days. All accounts past due will be subject to Interest c<arges 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 IRE <br /> PeOPLE OF C.42/51- R,dRTr5'r C1/G//trl, C 1 <br /> SAMPLE BY: (si ture): (aim <br /> A49t ersREMARKS <br /> sample <br /> trpaSample LocationDate Time G., coo <br /> 3 /?ao y SURF. EX S r/,/L Cr .tr"/_ <br /> v x 2 4 in <br /> 2 >z co , -TrN <br /> x 1 4,9 / . P•EL0W G <br /> kRIeVliuhed by ra): at Time Fie slued by(signature): pate Time <br /> Civy143 - �_ !� t �J"D -linquished (signature): Date Time ceived 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 />