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V <br /> A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> CHAIN OF CUSTODY <br /> Client7- Phone <br /> Phone <br /> Address ra' J O x /`�� CC to: _z'll i /Z. <br /> L/ 0 L JC rL Zip 9 _7e"' / CCT c Ae5r1 PT(, chail-le r.net <br /> Signature of person authorizing work <br /> under terms stated below' i <br /> 'Net 30 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 /> 7) ON L7 of <br /> SAMPLED Con <br /> �BY: (si ure): lain. <br /> ,' <br /> era �7 r REMARKS <br /> sample <br /> type Semple Location % <br /> Date Time „e C. <br /> �'A Al i'e 2 c. <br /> ; N h <br /> Relitigwshedby iiml ure) Date Time Recpjded 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 /> 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 />