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- <br /> CAST�ANALYTICAL LABORATORY1� z�iG� 22E -49A OF CUSTOS <br /> Location: 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No. 2079 <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PAGE_J__aF___j_ <br /> Phone: (209) 384-2930 - Fax: (209) 384-1507 <br /> Customer: ! REQUESTED ANALYSES Method of Shipment; <br /> � ����Address: 5 So <br /> f <br /> ur <br /> City/State/ZIP: z Notes: <br /> Phone 1 FAX: 2,r�q -I i � � �, � W CA m % 0 <br /> Fero j #� Z f G ' v a `Rr Q Q = ti <br /> 4 0 <br /> Report Attention: a CL W <br /> Sampler Signature: _ <br /> Printed: " <br /> z <br /> mr•a�ovc <br /> LAb ID#� SAMPLE ID DATE TIME DESCRIPTION/LO CATION <br /> ^^'� •.T�,n <br /> . 30786 30786 <br /> 2-- -�o o 1- <br /> kMW <br /> � 1ro 2 30787 , <br /> LL <br /> 30788 <br /> 1 �I <br /> 3 3 <br /> } <br /> 3 l <br /> Total number ofoontatners submitted to <br /> tore: . Prir►ted Name Dat Time <br /> Cgmparty Name insleboratory <br /> Relinquished b ' Note:All special requests(e.g.quick <br /> q y: a bd <br /> �1 turn tlmes)must be cleared through <br /> Received by: C/7C -7 ZL authorized laboratory personnel. <br /> Relinquished by: <br /> in <br /> by: <br /> W11112RESULTS DUE: <br /> Relinquished by: <br /> VERBAL WRITTEN <br /> Received by: it-rr 11 Rawl _ <br /> TAD SPACE ABSENT CONTAINERS /To • ► <br />