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� ( s <br /> CASTLE ANALYTICAL LABORATORY 1�[ l 7 C 1 ' Com, CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 9061909, Atwater, CA 95301 Certificate No. 2079 <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PACE OF_E <br /> Phone: (209) 384-2930 - Fax: (209) 384-1507 <br /> Customer: 1Aulo (e, RGA?€ T Q Npl Er Method of Shipment: <br /> Address: r C)I; 1r��Ji.+ <br /> City/State/ZIP: �� °' I.i4)�Y" <br /> Phone / FAX: 44 7 <br /> Notes <br /> Proj # / P.O. #: �. h C . 9 d m w °� `�, o <br /> Report Attention: .o a <br /> Sampler Signature: a $ ahoa <br /> Printed: H <br /> z <br /> Lsb 1p# SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br /> 777 <br /> W-z 46 0fi <br /> 0 <br /> - 46107 <br /> V <br /> 46 108 t <br /> r <br /> ROD <br /> 1 /• l• <br /> 1� <br /> i <br /> t- <br /> Total number of containers subrnrtted to <br /> in #ire Prirltecl Nate I :ate lm� y � ?� ;.� <br /> the laboratory <br /> Relinquished by. Note:All special requests(e.g.quick A <br /> Received by: (A_ Veh tp a turn times)must be cleared through <br /> Relinquished by: <br /> authorized laboratory personnel. <br /> Received by: <br /> Relinquished by: RESULTS DUE : i <br /> Received by: <br /> r <br /> VERBAL WRITTEN <br /> 4 <br /> ,�Y p <br /> f( <br />