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eg <br /> A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-5294080 <br /> CHAIN OF CUSTODY <br /> Client `VE6&/a V LdN—e-uL Phone <br /> Address P. d P"5, X 5734 CC to: <br /> Zip <br /> Signature of person authorizing work <br /> under terms stated below' (7x, <br /> 'Net 30 days. All accounts past due will be subject to interest c rges of 1.5% per month. <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 No ANALYSIS <br /> ( of <br /> Con- <br /> SAMPLED BY: (signature): lain <br /> ers REMARKS <br /> sample h,! <br /> type Sample Location <br /> Date Time c,ao tomo_ <br /> -Kitty rNE"" <br /> i <br /> RelirN�ul,shedb ,�signature): Daie Time Received by SSipnatureg Date Time <br /> Relinquished by(signature)/ <br /> Date Time Received by(sig6-dfure): IDa(e Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />