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CASTLE ANALYTICAL LABORATORY �a-637� CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95309 Certificate No 2079 : J <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 �s PAGE ( OFJ <br /> Phone (209) 384-2930 - Fax (209) 384-1507 J <br /> Customer t U�T_Eb,A VA Y 13 °" Method of Shipment <br /> Addressp Ch Weir" • �• <br /> City/State/ZIP 6ti&k 13> o y ? Notes <br /> Phone 1 FAX ip _ 2,p,)..- ; a <br /> w � <br /> �, m <br /> Pro) # Q f o ;� <br /> Lu <br /> Report Attention a w <br /> Sampler Signature g <br /> Printed g --a- <br /> SAMPLE <br /> z <br /> SAMPLE ID DATE TIME DESCRIPTIONILOCATION QPCCQIIATIf]IUCIRFIIA AI7KC <br /> J O ' ' <br /> ' 4785 Sti <br /> F E <br /> ,� 47852 t <br /> yL 1E AfT tGc h �F_3 l _ ;3 <br /> 47853 + <br /> sr, 3 <br /> 47854 t , <br /> e Irr,r�ry <br /> x'w i;£° s Fklrt <br /> r 411! <br /> y i <br /> LLA— I <br /> v s� <br /> i <br /> i t a i, iEl E lid y r I y I 1 ti i [— Rn^ '^vain lin+sc y raw <br /> „Printed,Nam B TtrI It - rC�g�t���°" �rkT �'s ¢ Total number of containers submitted to <br /> p the laboratory <br /> Relinquished b $ Note All special requests(e g quick <br /> tum times)must be cleared through <br /> Received byauthorized laboratory personnel <br /> Relinquished by <br /> Received by dot do <br /> ! t <br /> Relinquished by 4, 11®. _ � - -w <br /> �I RESULTS DUE <br /> Received by , VERBAL WRITTEN <br />