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A & L WESYEAN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> CHAIN OF CUSTODY <br /> Client621,EI AIEll LT/N/ Phone <br /> Atldress D gLa Y �7�¢ 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 harges of 1.5% per month. <br /> 'Hazardous materials are the property of the client. The clie is responsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. <br /> PROJECT ID NoANALYSIS <br /> 11�00DB2iD E Co <br /> SAMPLED Y. (. ature): tain- p` r <br /> / ers PSI' ti ��� �' REMARKS <br /> ample <br /> e <br /> type Sample Location AP APy <br /> Date Time c.zb tom �� \ l3 <br /> [6 I 'C 7/" <br /> / X <br /> Reli ishetl by( ure): ate Time Received by(signature): Date Time <br /> Y/ <br /> Relinquished b (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 /> Stan: Finish: Total Hours: Start: Finish: Total Mom. <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />