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CASTLE ANALYTICAL LABORATORY Ae ��Q fgM7�,2I/ CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 908/909, Atwater,CA 95301 Certificate No.2480 <br /> Mailing Address:2333 Shuttle Drive,Atwater,CA 95301 PAGE / OF l <br /> Phone: 209 384-2930 - Fax: 209 384-1507 <br /> Customer: Ba im 1dG o REQUESTED ANALYSES Method of Shipment: <br /> Address: s d .� <br /> J u <br /> Cit /State/ZIP: v,.� Cf7 Sj J 2 x ° 2 <br /> Phone/FAX a m �_ < Notes: <br /> "7� � u Q - H <br /> Pro'#/PO#/Global ID: ,ps&,r , <br /> o q o <br /> a o. ' w h ❑ ? m <br /> Report Attention: 14 <° <= 8- w m o m .v o <br /> Sampler Signature: LI gro m i m a m <br /> Sampler Printed: E <br /> �CJ fJ,N o a ❑ <br /> ^, x o: ❑ $ z <br /> o w <br /> Lab lO'#` SAMPLE ID DATE TIME DESCRIPTIONILOCATION m OBSERVATIONS/REMARKS <br /> Y J -0 <br /> 0 7 =t/ <br /> T z, <br /> 4 'zv L <br /> D n <br /> 1z:7-1 dr TZ , <br /> ota numoero contamers <br /> Signature <br /> Printed Name Date Time om an Name Submitted to the laboratory <br /> Relinquished by: + �oVN -7_ Z <br /> / Turn Around Time: <br /> Received ed 24 Hour 0 <br /> r - <br /> Received by: : 48 Hour <br /> Received by: <br /> Relinquished b : 7 •-f- 3 Day <br /> Received by: I f 5 Day (Normal) cry <br /> Special: <br />