Laserfiche WebLink
� � 111111111111111111P V M 1=1 <br /> CAST ANALYTICAL LABORATORY tSga3z HAIN OF COSTO <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE l OF_L <br /> Phone (209) 384-2930 - Fax (209) 384-1507 T <br /> Customer, 11 kqI REQUESTED ANALYSES Method of Shipment <br /> Address ' <br /> City/State/ZIP _ P%�L <br /> k _ W <br /> 5 s a t (n t; = Notas <br /> Pitons FAX 104) (, G -<, � ° w a I�CP�+J <br /> Prod # / P0 # u, o a o -qll <br /> Report Attention. 7 t e a r" z o g1+ea► Sr <br /> Sampler Signature a to W <br /> Printed e 2 <br /> Lob tDO SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSFAVATIMR/RFMARKS <br /> V1Ijr � 14941 <br /> I X I 1 14942 <br /> --U 1AJ q 14943 <br /> -3 14944 ' <br /> 14 945 ' <br /> 14945 <br /> , <br /> v3 <br /> - 14947 <br /> 14948 ' <br /> Y �1 1 <br /> -n 14949 <br /> ToW number of oontainers submitted to <br /> `-- Sigt,ature Printed Name Date Time Com any Name the laboratory <br /> Relinquished b Note All special requestse <br /> ( g gwdt <br /> Received by -CCS 36 tum times)must be cleared through <br /> Relinquished b authorized laboratory personnel <br /> Received by <br /> Relinquished by RESULTS DUE <br /> WNW 9% ffiER ON 21 <br /> Received by VERBAL WRlTTE <br /> MEAaISPACE AR CaXTAI -� <br />