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I <br /> zi <br /> CASTOANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 90$/909, Atwater, CA 95301 Certificate No. 2079 .� <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PAGE_L_0F 1 <br /> Phone: (2091 384.2930 - Fax: (209) 384-1507 n <br /> w <br /> Customer: Az�uaocpd REQUES ANALYSES Method of Shipment: <br /> Cr <br /> Address: rip ! �, <br /> Citylstate/zlp: zs zN `J <br /> otes: <br /> Phone ! FAX: �b -I pGh ?1 a s R <br /> Pro] # ! P.Q. #: —� `" z U' W Y 0 <br /> Report Attention: J_ c IL S = o <br /> Signature:Sampler Si P { w m <br /> P B � � V <br /> Printed: u w <br /> z <br /> Lab 10# SAMPLE ID DATE TIME DESCRIPTION/LOCATION <br /> ;3 r li <br /> W—( 7-0-11 1 +, <br /> C' N <br /> V <br /> W <br /> CJD <br /> .p <br /> d) <br /> deN <br /> MG lROJUIM" <br /> 7-1 <br /> C_ <br /> r <br /> N <br /> _ W <br /> - CD <br /> - Cp <br /> A <br /> o number oontainera au6mltted to 0) <br /> Signature Printed Name Date Time Company Name Lhe laboratory <br /> Relinquished by: (f s Note.A0 special requests(e.g.quick `. <br /> c tum fl"s)must be cleared through <br /> Received by: r t �7 /� authortted laboratory personnel. <br /> elinquished <br /> eceived by: <br /> v <br /> elinquished by: RESULTS DUE: m <br /> acelved by: VERBAL. i WRITTEN W <br /> tr+ <br />