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A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 a Phone 209-529-4080 <br /> CHAIN OF CUSTODY <br /> Client �/��SNE� ONl7G(GTXN/� Phone <br /> Address o. �x �/99 CC to: <br /> zip 9'S38/ <br /> Signature of person authorizing work <br /> under terms stated below' <br /> 'Net 30 days. All accounts past due will be subject to inters charges of 1.5% per month. <br /> 'Hazardous materials are the property of the client. The cli tis responsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. <br /> PROJECT ID ANALYSIS <br /> n <br /> !1/057 of <br /> Con- <br /> SAMP1,4U BY: ature): tain- <br /> 4 n� Q <br /> are �( �' V� REMARKS <br /> P <br /> Q � P <br /> Date Time typo Sample Location <br /> G" tomo <br /> 7x u& ))vo K 0,339 W, LlnJlvg Zo l X <br /> T {NEC L 14 EA 0 <br /> �223/ob f;ao 833 • UNA/E 40 ..� X <br /> R ishedb ature): /Dae Time R ive by(signature): Date Time <br /> /60c) (-1'Q1 <br /> Relinquish by(signature): Date Time R eived 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 fT,,e 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 />