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EDA & L WESTERN LABORATORIES, INC. <br /> AIL 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> CHAIN OF CUSTODY <br /> Client [� ` o,vJ�Z 7-1A.11 Phone 6& 0 — 1`►" p <br /> Address "� x CC to: <br /> Signature of person authorizing work <br /> under terms stated below' <br /> _ 'Net 30 days. All accounts past due will be subject to interest charg s 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 /> TPROJECT ID No. ANALYSIS <br /> de SNA VE/Z 2 co /. <br /> SAMPLE 'BY: (sig ria): tain- <br /> ers [�[ <br /> /�� /% /\ REMARKS <br /> IT <br /> <.O'"v� Y V <br /> sample <br /> type Sample Location (Q <br /> Date Time Grab comp `7 <br /> x M 5 x MASUR T-,QR A b <br /> 7 <br /> Relin i hed by i lure): Qate Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time R66eived 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 />