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CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE-OF <br /> Phone (209) 384-2930 - Fax {209} 384-1507 <br /> Customer Cj �')C. u"�r z �, 713° 111; 5�5''°I�,� rI" ; ", Method of Shipment <br /> Address Q a �' 1C'� <br /> CItylStatelZlP, s 0 W <br /> ro o us J a Notes <br /> Phone 1 FAX _ �,� Ll v-1_ I� <br /> Prot # I P O # - p � �ti ' 1 LAS. � ' w 0 <br /> Q <br /> IL <br /> Report Attentioq, `-r" yv\ ,� ° x a <br /> Sampler Signature a m >r <br /> Printed :F <br /> I Y <br /> (911 Jogi SAMPLE ID DATE TIME DESCRIPTION/LOCATION <br /> } k3 �"'1' c�- y,S 40774 <br /> , <br /> rAte 40775 <br /> x k,,�l; � 117 b• S� � i <br /> { F I I 40776 <br /> 4 I <br /> 40777 I I <br /> flit/ I JIk <br /> I I 1 Yi I it <br /> f <br /> a N <br /> ly II <br /> k <br /> i <br /> Ih 1 I�I f r�r <br /> li <br /> I � <br /> I r s <br /> IZ n <br /> I I s i m l <br /> Total number of containers submitted to <br /> tlatufie Printed Wer e; ,pdt�`' {Timis ��I����iy the laboratory <br /> Relinquished b , i CD in-e- 1 W A1-,rWbQNote All special requests(e g quick <br /> turn times)must be cleared through <br /> Received by SII "��f1 /,�,('_� r � .t�G1 1'ISI r"I � J Uri r� �'� �� authorized laboratory personnel <br /> Relinquished by { <br /> 'tral Yi11) 14 Received d- <br /> by <br /> Relinquished by �s' �} �."_ , > ' ° ` ;RE $D E <br /> f I{ i �• ,I,,, -. Ji I F,} �__..•.RsceWRITTEN <br /> ,ved by <br /> F <br />