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r r r r� r r r r r r r rr r �■r rr r■�I rr rr rr <br /> CASTLWNALYTICAL LABORATORY CHAIN OF CUSTOS <br /> Location: 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No. 2079 t <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PAGE OF 1 <br /> Phone: (209) 384-2930 - Fax: (209) 384-1507 <br /> Customer: �; 1 �r-i1, REQUES ANALYSES Method of Shipment: <br /> Address: !gyp( a <br /> City/State/ZIP: skCk- z!�Eki5 ' m o y z Notes: <br /> Phone / FAX: �b -I oG� v 7 W9 V w o <br /> fn m <br /> _ z <br /> = <br /> Proj # / P.O. #: �r t a .4 a o r 0 <br /> x o- o <br /> Report Attention: eza v CL t w <br /> Sampler Signature: gCDm <br /> Printed: <br /> -Nl z <br /> Lab IDr SAMPLE ID DATE TIME DESCRIPTIONILOCATION <br /> s� <br /> WAS -TETAIMER <br /> ltJ-f 7-r3 ` <br /> 7- <br /> z ADM polgr <br /> Total number of containers submitted to <br /> Signature Printed Name Date Time Company Name the laboratory <br /> Relinquished by: r �� �) 5' Note:All special requests(e.g.quick <br /> r i CC 5> ��� <br /> turn times)must be cleared through <br /> Received by: authorized laboratory personnel. <br /> Relinquished <br /> Received by: <br /> Relinquished by: RESULTS DUE : <br /> Received by: <br /> VERBAL WRITTEN <br />