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CASTLE ANALYTICAL LABORATORY irga.y�-{ ��g� r�� CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 I <br /> Mailing Address 2333 Shuttle Drive, Atwater. CA 95301 PAGE 1 OF <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer v VI n REQUESTED ANALYSES Method of Shipment <br /> AddressV 0 <br /> City/State/ZIPA. m s o �, a Notes <br /> Phone / FAXcpb �q e 4 y <br /> Pro) # IPO # a � a m o 0 <br /> a B = a o <br /> Report Attention Gc. a $ � b m w <br /> Sampler Signature m <br /> Printed <br /> Lob ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION 013SERVATIONSIREMARKS <br /> QIJ� I i IL.zo <br /> �r W z rs'sD 3- 28187 <br /> MW 3 16-00/6.10 �s �a <br /> 28109 <br /> 28190 <br /> 3 { <br /> 3 Y <br /> I ' a <br /> 4Id "! r `i r�Y ..rl. urs oil Til el <br /> Total number of containers aubmb3d to <br /> Ire Printed Name Date Time Company Name the laboratory <br /> Relinquished by f - ,� Note All special requests(e g quick <br /> �/ tum times)must be cleared through <br /> ecerved by ! [' n U It-{A�' <br /> authorized laboratory personnel <br /> Relinquished by <br /> Received by <br /> Relinquished by - <br /> RESULTS DUE <br /> Received by R { VERBAL Lj WRITTEN <br /> rr'r i APPROPRIATE <br /> "PAr1 WAr E n00ct,iT <br />