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,firt�n.m.f 'y+.n-�...,.. riq�q"-r'��,x+Cilf'fS�i'iW?•sr„F^r�,..�pmnr-arrrn—..e... it .. �.—^r'r.--�.» e. ,,r;. ...—...... -,-,� +m••er>�.--�.. ,. _.._. _ _ ._ <br /> C) <br /> A & L WESITMWLABORATGRIES, INC. <br /> 1311 Woodland Ave. #1 .6`Modesto, C�Iifornia 95351 • Phone 209-529.4080 <br /> CHAIN 'OI CUSTODY <br /> Client tlf(ft"Ll�//'�t� Phone1U. --- <br /> i <br /> Address • r CC to: <br /> -rup 1"R,44 CA —zip <br /> Signature of person authorizing work a <br /> under terms stated below* <br /> k <br /> .Net 36 days. All accounts past.due will be subject to interest charges 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 /> hPA R„ t,%10(/Z -4!V( Con. <br /> SAMPLE Y: (si tire): Iain• h. REMARKS <br /> ern� .I v <br /> sample , <br /> type - Sample Location G <br /> Date Time c,ati cwno: <br /> Ji I <br /> 3 <br /> i <br /> i <br /> I <br /> -M <br /> Rekin si re): Tune Received�e y(signal re): Dat; Time <br /> � ed b ( at / <br /> Relinquished b signature): Date Tune Re�ived by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Tihne Received by(signature): Date Time <br /> i <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 />