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— . <br /> A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 a Phone20 <br /> - 0 9- <br /> 529ALI80 <br /> rCHAIN OF CUSTODY 2634 <br /> Client06 SI ctj <br /> Phone <br /> Address— _ >! VfCliy'G CC to: i ' S� c_:'kilN0lAc ri <br /> Zip 't. - J <br /> l.-'f.44Ulli CilC s'-i. <br /> Signature of person authorizing workj r �`I�'�� ''� Nt r✓j Y <br /> under terms stated below' <br /> 'Net 30 days. Alf accounts past due will b� subject to interest charges of 1.5% per month. r' <br /> 'Hazardous materials are the property of the client. The client is responsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. <br /> PROJECT ID orf" <br /> No. ANALYSIS <br /> G� <br /> f r GL. of Con- <br /> SA :'LED BY: (sigAatureers <br /> �, , . / rain• <br /> REMARKS . <br /> sample t l� <br /> DateTime type Sample Location S ;G� <br /> Grab Comp. <br /> �t �R <br /> 114 <br /> t.; <br /> ReIinq d by na e)- Date Time Received by(signature): <br /> = 1�., Date Time <br /> Relinquished by(si ature): Date Time Peceived by(signature): <br /> Date Time <br /> 5r} Relinquished by(signature): <br /> Date Time Received by(signature): Date Time <br /> r <br /> Reiinquished by(signature): Date Time Received by(signature): Date Time <br /> E <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: <br /> Finish: Total Hours: <br /> E. I .• I <br /> A, Dedicated Exclusively to Providing Quality'Rnalytical Services <br /> IVB-5 <br /> ' - r <br />