Laserfiche WebLink
�r rr rr r � r r rr � r r it■■i rr �r r r �■r �■■� rr <br /> CASTLWNALYTICAL LABORATORY <br /> CHAIN OF CUSTOM <br /> Location: 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No. 2079 <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PAGEOF__/ <br /> Phone: (209) 384-2930 - Fax: (209) 384-1507 <br /> Customer: 7 !'+7 l REOUESTED ANALYSES Method of Shipment: <br /> Address: a +] �, to r ,jQtU <br /> City/State/ZIP:S- <br /> a o �, Notes: <br /> Phone / FAX: (�` — Lr �j - Jj W <br /> Z <br /> w V uJ o <br /> Proj ff / P.O. #: a W _tr p 0° o a - v <br /> Report Attention: ;., `, 8 a a J n <br /> o <br /> g <br /> Sampler Signature: a S m `� '- In W <br /> Printed: " " f' <br /> Z <br /> Lab 100 SAMPLE ID DATE TIME DESCRIPTIONILOCATION OBSERVATIONS/REMARKS <br /> w- v: 24 <br /> + w /1:00 <br /> 4 <br /> F ` <br /> GOOD CONDITION PPROPRIA <br /> HEAD SPACE ARK 4T-V ONTAINER <br /> Total number of containers submitted to <br /> Si t Ie Printed Name D to Time Company Name the laboratory <br /> Relinquished by: ? ['CS U L7 Note:All special requests(e.g.quick <br /> _� turnlimes)must be cleared through <br /> Received 6y ~' l2 1 L_ A m authorized laboratory personnel. <br /> Relinquished by: <br /> Received by: <br /> Relinquished by: RESULTS DUE : <br /> VERBAL WRITTEN <br /> Received by: VE [ <br />