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CASTLE ANALYTICAL LABORATORY 4 / CHAIN OF CUSTODY <br /> Location: 2333 Shude Drive, Bldg 9081909, Atwater,CA 95301 Certificate No.2480 <br /> Mailing Address:2333 Shuttle Drive,Atwater,CA 95301 PAGE _/ QF <br /> Phone: 209 384-2930 - Fax 209 384-1507 <br /> Customer AZ ra 1„rG ° REQUESTED AIVPcLY$ES._ Method of Shipment <br /> Address: <br /> o ¢ LL , a <br /> Ci /State/ZIP: ,fir (;� S3 I x m .a a E w <br /> LU m =" � u� U m a z Notes: <br /> Phone/FAX: �� -]Q0 y tz o m � a N mco a z <br /> Pro'#/PO#/Global 1D: rydrx r 1 U ; < < = m O <br /> q U <br /> Report Attention: a y o <br /> ca <br /> Sampler Signature: N fl m �z °� a s m <br /> _ - <br /> o ~ <br /> Sampler Printed: C `�C7�� °X O m z <br /> Lab-109 SAMPLE ID DATE TIME DESCRIPTIONILOCATION " m r iu <br /> ?Z71 19. fa 17fiq led OBSERVATIONS/REMARKS <br /> ix 1A <br /> - � - d 1 't7 z- 91 rke-Awx '7— L <br /> ~� pZrq IkM =b <br /> QS =n C <br /> to 1. DL-41 T <br /> - - T <br /> - SR nature Printed Name _ Qafe.. Tine: om ori _Name Total number <br /> e re laboratory <br /> Relinquished by. y f <br /> Received by: Turn Around Time: <br /> ' Q <br /> Relinqui24 Hour <br /> by: � t s� <br /> Received by: 48 Hour,�. 3 D <br /> Relinquished b . Day <br /> Received by: <br /> 5 Day(Normal) <br /> Special: <br />