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��F -.'Tj i 'T''�$' v'��Y'l'(14tFy„:7•' �',�r.l, -s�rwA"_, a . A is �:1`1' .� ank".:t''s�`�,r x}. . �. -t' 'b sw- -bi' w,,.pr�>: :,. <br /> �. "^sR:S -•a b',e'rYkr�% *-,n.y-M r,.; r-#"+t-.r.w �.. +?"•„i.�y � <br /> i <br /> A & L WESTERN LABORATORIES, INC. <br /> gAtLD 1311 Woodland Ave. "#1 ,! ,Modesto, California 95351 • Phone 209-529-4080 <br /> 0 <br /> CHAIN OF CUSTODY <br />- R <br /> i <br /> Ciient 6, 4 aG 2r, Phone /� f Q <br /> Address — CC to: <br /> OG�C zip Ir!/ <br /> Signature of person authorizing work <br /> r�! <br /> under terms stated below" <br /> 'Net 30 days. All accounts past due will be subject to interest charge of 1.5% per month. <br /> 'Hazardous materials are the property of the client. The client }s responsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. <br /> i <br /> PROJECT ID A No ANALYSIS <br /> I <br /> of t <br /> Con- <br /> SAM ED BY: nature): tain- <br /> ers REMARKS <br /> { <br /> 4 <br /> sample <br /> type Sample Location <br /> /z// <br /> Date Time Grab COr P. A <br /> 7 1 RO A 1 <br /> f <br /> r . <br /> I <br /> i <br /> ' a <br /> y[ <br /> Relin db y s` re): Uie Time I F enived by(signature): Pate Time <br /> Relinquished by(signature): .Date Time HE4ceived by(signature): . Date Time <br /> Relinquished by'(signatu're): Date . Time Received•by(signature): Date Time <br /> • i <br /> Relinquished by(signature] Date'`4 -Time Received by(signature): Date Time { <br /> Relinquished:by(signature): Date Time .. Received by,(signature):. date Time. <br /> Site Time � - Dri4ing Time:` <br /> Start 1 ,Finish- Total Hours Start:'` ,Finish: Total Hours: <br /> i <br /> Dedicated Exclus.iVely to Providing QuaiityyAtialyticaJ4Services <br /> ti <br /> A„N.,4XRli h t fj: i` ... - - - <br /> 9 <br /> . . �. .6..: :i,£�'.1-' ..- }'.. '....:"'. .,:.'':' . .. .........-.... .. ... .. .... ... : <br />