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, ri ...-_ .,,.- .>-�.�,o�,.e,-,.,e........qy..w-..+.+x......,ra��,,,,Y.e +F+;+t f�:1¢t, ..ea.+-_,;.a.;�a err,•• tr^',v�'^:,�,�y,"4.'h""Y'' t .. .,, .n _...n.�.• - w� <br /> CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> PAGE OF <br /> Mailing Address 2533 Shuttle Drive, Atwater, CA 95301 <br /> Phone (20%'384-2930 - Fax (209) 384-1507 <br /> REQUESTED ANALYSES Method of Shipment <br /> Customer c � N <t !t r <br /> y <br /> Address , v ► - < < 0 w a <br /> City/State/ZIP '54 <br /> �, a Notes <br /> Phone / FAX F o w Z <br /> w p v = cn oo p <br /> — Prol # I P O # —p/ Q .a. LL <br /> / W ' d o ;� <br /> J � <br /> cn a S a p <br /> Report Attention W2La a <br /> �L m ca <br /> W <br /> Sampler Signature U N_ 2 <br /> Printed Z <br /> ' Lab ID# SAMPLE ID DATE TIME DESCRI PTIONILO CATION OBSERVATIONSIREMARKS <br /> 6- ' <br /> _ 3 i th, <br /> iV, -3 �O <br /> S 'r 5 <br /> 9 Z47: <br /> - <br /> 4 <br /> Total number of containers submdied <br /> ) nature Print e Name pate Time sCompany Name the laboratory 4 , <br /> Rehnqu,shed py �y ,r. l , �, �, C Note All special requests(e 9 quick <br /> tum times)must be cleared through <br /> Received by L I 3 j authorized laboratory personnel 1 J, <br /> E Relinquished by <br /> ' Received by <br /> Relinquished by RESULTS DUE ti <br /> Received by E VERBAL 1NRITTEN <br /> K � I <br />