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r A L WESTMRN LABORATOR183l INC. <br /> 1311 Woodland Ave. #I • eta, Cal'ifnmia 95351 • Phone 209.529.4x80 <br /> CHAIN OF C& TODY4. <br /> ', <br /> I- <br /> Client A. Phone <br /> Address—2-A <br /> A dw CC to: <br /> ILIRLpGfC C Zip ' <br /> Signature of person authorizing work <br /> under terms stated below' <br /> 'Net 30 days.All accounts past due will be subject to interest ch'. ges of 1.5% per month. <br /> 'Hazardous materials are the property of the client. The client is sponsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate f <br /> PROJECT ID No. ANA SIS <br /> 4 . <br /> �t" 4GrS Co, <br /> SAMPL BY: {s ure): tg�' _ \ ki � REMARKS <br /> camp . <br /> pa sample Location <br /> Date Time Iamb c,,,,,, 1 <br /> P /Olo L f x X f6ITL1�� GEAC.�/G1Ec D SFT <br /> F U , .. i C7 Fr- F; <br /> x /S FT <br /> f F S`:. Lf C9," SF <br /> Ira K LF V k, X t .'rlA_6 4eFACFIC/EL6 A7F7 <br /> n4d IX / TrN F/EL S <br /> tauF /V r �c E a✓ Lj=A zfli,�c D /u r 7 <br /> 9 1wf X LF ! f X F1E,0✓C [�=/l0irtF(b IS r r- <br /> Reiff s b ure): t Time iv by(sig ature): to Time <br /> � .s 49v <br /> Rall nquished y(signature): Date Time celved by(signature): Date Time <br /> Relinquished by(signature): Date Time Aiscelved by(signature): Data Time <br /> Relinquished by(signature): Date Time eceived by(signature): Date Time <br /> a Relinquished by(signature): Date Time ^eceived by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: <br /> Total Hours: Itart: Finish' Total Hours: <br /> Dedicated Exclusively to Providilr9 Quality Analytical Services <br />