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At <br /> � A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, Califomia 95351 • Phone 209-5291080 <br /> 0 <br /> CHAIN OF CUSTODY <br /> Client P-0 - 06 .< <br /> N]Es�Ey oiS(ALT�/��7 Phone 4�e - 140 3 <br /> y <br /> Address '0 - 06 . 3 794 ! CC to: <br /> Tu'zteat zip Sw t <br /> Signature of person authorizing work 9 <br /> under terms stated below' dalc <br /> 'Net 30 days. All accounts past due will be subject to interest ch gas of 1.5% per month. <br /> 'Hazardous materials are the property of the client. The client isrtesponsible 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 /> OT Con <br /> - <br /> SAMPL BY: (si e): ern f <br /> REMARKS <br /> \v <br /> se <br /> type Q <br /> tYPs Sa le Location <br /> Date Time �,,, Como. <br /> /fyp FT ( X X <br /> Re nquished by ure): D to , Time Received by(sigpatur, 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 /> Relinquished by( Time Received by Date Time <br /> ff:= <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 />