Laserfiche WebLink
""a"a � l � ir E <br /> CASTLE ANALYTICAL LABORATORY �L CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater CA 95301 PAGE—LOF_L <br /> Phone (209) 384 2930 - Fax (209) 384 1507 <br /> Customer �� t �� �, '(, _, 1 ` 1 . t REQUESTED ANALYSES Method of Shipment <br /> Address <br /> City/State/ZIP r r 129 <br /> x r_ w <br /> r C Notes <br /> 0 <br /> y <br /> Phone / FAX <br /> PrOj # 1 P 0 # -T—t z ter °` v W1 3Cr a wuJ <br /> v p <br /> -i . OD C7 V U <br /> Report Attention r { a ^ xLL <br /> Sampler Signature a E m Fix <br /> Printed $ $ �`` M <br /> Z , <br /> Lab lDfr SAMPLE ID DATETIME DESCRIPTIONILOCATION ' r,a�r L Al6Y . S <br /> S , r 'Trac 1 <br /> �� kF , } <br /> M MIA, <br /> W [' tyt rj .an.r�^Yah .i <br /> �� FRT i„ {f <br /> w F <br /> M 0..��d <br /> r �`t >43♦rt..yl e 1 <br /> I X1 <br /> Ro <br /> >~1 <br /> `T L-3 / r i M d�kl `r le c fi <br /> -P r, '- A, <br /> - { 0,1053 <br /> t o t <br /> � i' rxrN r t`1 <br /> 54rt <br /> Total number of eonlamers submotted to <br /> Signature Printed Name Date Time Company Name the laboratory <br /> Relinquished byitles ,[f � ra Note All spectal requests( gmck <br /> Received by ( .��C CC-1 AZ turn times)must be cleared through <br /> I. authorized laboratory personnel <br /> Relinquishe by <br /> Received by <br /> Relinquished by <br /> ES sut_Ts Dur= <br /> %Received by VERBAL (j WRITTEN <br /> GONTA ERSc eive .5c�4�r ¢ t <br /> Sy op ��� � � <br />