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n <br /> AL WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 o Phone 209-529A080 <br /> CHAIN OF CUSTODY <br /> Client 7 It'Q'I",- <br /> Phone <br /> Address CC to: <br /> Zip <br /> Signature of person authorizing work <br /> LC <br /> under termsstated below* <br /> `Net 30 days. All accounts past due will be subject to interest 44arges 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 /> ot <br /> Con. <br /> SAM)F-D BY. tune): tain' <br /> ers <br /> REMARKS <br /> S pi <br /> typee 4mple Location <br /> Date Time 0,,b ICOMP-1 <br /> "VI') E 4 WA fi /-. -�'A PZ Z! 4 x NY VVA7,CIZ <br /> lin <br /> Re X:�i 0ed by( It Tung Received by(signature): Date Time <br /> a, <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 /> 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 />