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CASTY"_ '1ALYTICAL LABORATORY CHAIN OF CUSTOL. <br /> Location: 2333 the Drive, Bldg 908/909, Atwater, CA 95301 Certificate No.2480 <br /> Mailing Address:2333 Shuttle Drive,Atwater,CA 95301 PAGE_—OF_� _ <br /> Phone: (209)384-2930 - Fax:(209)384-1507 <br /> Customer: e tA/ REQUESTED:ANALYSES Method of Shipment <br /> Address: v a'cJ? ' <br /> City/State/ZIP: dC� m y x s LL <br /> Phone/ FAX: -)-oc( 67Y Q 7 y 14 F Notes: <br /> Proj #/P.O.#/Global ID: ��/ y�gs� f� a g`w Q = y m < o <br /> Report Attention: Z o _ .a o s N LL 112(Y3� <br /> Q a K 0 m lJ d' <br /> Sampler Signature: 2 . h N F F F w r N w « per <br /> Printed: m <br /> SAMPLE ID DATE TIME: DESCRIPTION/LOCATION �/ OBSERVATIONS/REMARKS <br /> lt /� <br /> rrt <br /> r, ` <br /> � Y <br /> I{tel v F <br /> ^4t [ <br /> nirz <br /> 1-.g.i"U uk• r. lila LIII � <br /> <7-p .�`ladw LF L, ak dt a�rvir ,r 'Aai'IL� jV " Total number or containers submitted to <br /> - •� `•`_ . :'..:.' z xt(SI GlatUrelr�ntm "•... ."tR.fYt,ai:.,,,��IjlTilted,'I�NatTlep4a.-�ul.n�� �BtQ�i Trfllll2� s{j y'1.. ;CO[Jla lNafTle � .�p the laboratory <br /> Relinquished by: . cos ;-.3'� I tel$"- �' �-Lr,- Note:All special requests(e.g. <br /> Received b . quick turn times)must be cleared <br /> y I Lam,,... 'through authorized laboratory <br /> Relinquished by: -2-3-j5 Q!/ <br /> L personnel . <br /> Received by I _ <br /> Relinquished by: <br /> RESULTS DUE: <br /> R6celved 6y: VERBAL WRITTEN <br />