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e I,YO <br />CA- <br />= 10:31 talis <br />John Alaniz, RENS Page 6 of 7 <br />1 - - <br />Location: 2333 Shuttle Drive, Bldg 908/909. Atwater, CA 95301 <br />Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 <br />0 - Fax 209 500-1848 <br />MillbLAP Certificate No. 24811t .AGF 25 OF -2-> <br />CUStOnler: -Cakit S <br />--, SAMPLE TYPE compOsite(c) dtscrele/praNd) : UESTED ANALYSE:, <br />x 0, Method of Shipment 1 1 , <br />.•(f5(') <br />o_ <br />-, <br />o <br />`a. <br />//, <br /> <br />. <br />P <br />ci z•-• <br />.. „, <br />1 <br />= <br />City/State/ZIP: Si I.iiis 61, ., 934o) 3 <br />u <br />`i.S. <br />z <br />Notes: <br />gef 011' re.5a3 Phone / Email: 570- 6,9,4-- $ <br />Project# / PO / Global ID: g ?_;,, riiP+, ktikbui;$6° 41("‘'dcivi Y <br />Report Attention d €21LO44+ P-141/fr,441,4S. 441,m CIAlla AirriciniCa)affael`5' <br />Sampler Si nature <br />Sampler Printed Jt_c_-_disli l Ab.:, / iitOdyini4 Cia-Se.ti OBSERVATIONS/REMARKS <br />Lab ID# <br />/ SAMPLE ID DATE TIME bESCRIPTION/LOCATION <br /> E12, ilt).7,0) IZAS Inbil0// kff XM(k <br />_ <br />: .------ <br />.-----------r-- <br />- <br />"--..........______ <br />Printed Name Date Time Company Name <br />otal number of containers <br />submitted to the laboratory <br />Signature <br />by. <br />Turn Around Time: <br />24 Hour El <br />48 Hour ..F•I <br />3 Day LJ <br />5 Day (Normal) I <br />Special. _ <br />Relinquished <br />Received by: <br />Relinquished by <br />Received by: - - - - <br />Relinquished by ii <br />kct <br />29050 E Wimer Rd, Linden Record ID C00054426 <br />11/23/2021 <br /> ER Complaint <br />Photo 6: Page three of Chain of Custody.