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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_ OF <br /> Phone (209)384-2930 - Fax (209)384-1507 <br /> Customer ` r 110... �y REQUESTED ANALYSES Method of Shipment <br /> Address ' � Y # � <br /> CM x -1; �, Z <br /> City/State/ZIP Notes <br /> Phone 1 FAX ~ ° `� ~ <br /> .,- o <br /> w 4 w a <br /> Prod#/ P 0 # Wp d <br /> w 4 0. CO � <br /> Report Attention a O 4 X a o Co N o <br /> Sampler Signature 8 " ,- 2 m <br /> Printed 3— t, o _ z <br /> Lab lD# SAMPLE ID DATE TIME DESCRIPTION/LOCATION w OBSERVATIONWREMARKS <br /> 164 'I a 'A 7 <br /> j e, d- S <br /> - ) B,* 41ZAD w etre k Co. iYW <br /> MAO W <br /> h s <br /> Total number of containers submitted to <br /> SI nature Printed Name Date Time Coat an Nam e the laboratory <br /> Relinquished by e� pr}f Gs i ote All special requests(e g <br /> Received by lip -,- quick turn times) must be cleared <br /> b through authorized laboratory <br /> Relinquished <br /> 0 � G personnel <br /> Received by "� <br /> Relinquished by RESULTS DUE <br /> Received by VERBAL Ij WRITTE! <br />