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AGviNLNvk ENNRONu.EMk iNWSiRik <br />A & L WESTERN LABORATORIES, INC. <br />1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br />CHAIN OF CUSTODY <br />Clit <br />•/� %lr� Phone <br />en <br />AddressCC to: <br />zip C 3 1 <br />Signature of person authorizing work t <br />under terms stated below' �` � 7ae-s <br />'Net 30 days. All accounts past due will be subject to interest chof1.5% per month. <br />'Hazardous materials are the property of the client. The client isnsible for proper disposal of hazardous wastes <br />picking up hazardous wastes may be assessed an appropriate fee. <br />Clients not <br />PROJECT ID <br />Con- <br />No ANALYSIS <br />of <br />ers <br />REMARKS <br />SAA��LED BY: si nature): rain- <br />; 1. <br />sample <br />type Sample Location <br />Date Time Grab Comp. <br />P' <br />Retr uished' , }g'nature): <br />/�� / � <br />Relinquishe by (signature): f <br />SDJ/J$to <br />� % 2 <br />Date <br />Time <br />��� V <br />Time <br />Received btyj(signature):t <br />Received by (signature : <br />Date <br />Date <br />Tfine4 <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start: Finish: <br />Total Hours: <br />Driving Time: <br />Start: Finish: <br />Total Hours: <br />Dedicated Exclusively to Providing Quality Analytical Services <br />