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r <br /> k <br /> CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater,CA 95301 Certificate No.2480 <br /> Mailing Address:2333 Shuttle Drive,Atwater,CA 95301 PAGE V OF <br /> Phone.(209)384-2930 - Fax:(209)384-1507 <br /> Customer: -7 L "• /IfA /l►'ff6Ll/W6- <br /> REQUESTED ANA :SES: Method of Shipment: <br /> Address: 5 7�fk/ �6✓�ct.sc_ . <br /> Ut/ <br /> Cit /State/ZIP: NT&-O 6A fzsa4e3 '-` L o z <br /> m N � ° N w <br /> Phone 1 FAX: 7Z q ?Z �? '� a °° a Notes: <br /> L ¢ a o <br /> PrOj#1 P.O.#/Global ID: �+� Tri �!`Z r1 f o w Q r w ro v o T v <br /> Report Attention: .o t ° N COo <br /> P i l i-L L 4 d' v x a m Co o s <br /> Sampler Signature: a g �' °w m <br /> m 4 e cn <br /> Printed: f �,�� y� U D <br /> a <br /> "&iEl 0 SAMPLE ID DATE TIME DESCRIPTION/LOCATION w OBSERVATIONS/REMARKS <br /> IT 5 <br /> 11,11-A <br /> :.i•—�:] A"'Std"�_ <br /> A Y .rid <br /> i7R P <br /> mm <br /> Total number of containers submitted to <br /> ... - Cfrled8rt1 .:. c3 s> +.�irTf � t2C the laboratory <br /> x ' r ial requests(e.g.Relinquished = 4go <br /> Received b ick turn times)must be cleared <br /> through authorized laboratory <br /> Relirtquis by: personnel . <br /> Received by: <br /> Relinquished by: RESULTS DUE: <br /> Received by: VERBAL WRITTEN <br />