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A & L WESTERN LABOCIATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-1080 <br /> CHAIN OF CUSTODY <br /> Client (.•�•r�- <,NGf/ ('G9h/J Lrf/. T/l�C'-r Phone C�l� _' �•f-L� <br /> AddressCC to: <br /> ��• L'� �'�k� <br /> !/L(/ ! 06 !L; "! Zip <br /> Signature of person authorizing work �• iL J/i ---- <br /> under terms stated below' c..-r <br /> 'Net 30 days. All accounts past due will be subject tinterest 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 /> PROJE/CA1T IDANALYSIS <br /> Con- <br /> SAMPL Q BY: (sig �tyfe): tan-- <br /> es �� <br /> �>��,��,�,.. REMARKS <br /> sample - ,��) <br /> 1ype Sample Location <br /> Date Time .,a�Tmp, <br /> Sp_ FA /2 C F L.- I SC A 9. 1 -r,4 KF N T N G1E <br /> 7�ra /sal a� q R c L ( x. 9r ru 41fil"foul <br /> , v6r x 'Ar' 1. -1 1 x <br /> _f f, SA /vlPi__ 7F1kF1Jnr <br /> Reli qu-shetl by( ! furs): _pat Time Received by(signature): Date Time <br /> n Y F 1 7 <br /> 1-r7 t <br /> Relinquished ib (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 />