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CASTL ANALYTICAL LABORATORY61C/o c- CHAIN OF CUSTOD <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE_OF <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer ? -)I REQUESTED ANALYSES Method of Shipment <br /> Address v CIO <br /> City/State/ZIPCA ii� o i <br /> Phone 1 FAX U -�i! I e _ W = Notes <br /> Pro) # I P O # 1/ a W p a o :► 0 <br /> " a ^ i a o <br /> Report Attention w g a <br /> Sampler Signature a. E <br /> Printed <br /> Z ' —, .16 628- <br /> Lab IDI! SAMPLE ID DATE TIME DESCRIPTIONILOCATION <br /> -lglq 7-41 X1i 16fiZ� 'ti E <br /> w-z 9 L-16680 - - <br /> 1 41 <br /> op I <br /> MW V 7,)q-99I I <br /> r <br /> r___1-16633 _ <br /> --,' --,!-166 <br /> (F) !oA -z <br /> W- ' 9-Rg i <br /> '�6fi3fi �i <br /> HEA CONTAINERS <br /> � - <br /> ._, <br /> - Total number of containers submitted to <br /> Signat t Printed Name Date Time Company Name the laboratory <br /> Relinquished by a" 'OVI 6 dote Ailspecial requests a quick <br /> � tum times)must be cleared Through i <br /> Received by ,- C 8 7'00 yYJ/t} aulhonzed laboratory personnel <br /> Relinquished by <br /> Received by <br /> Relinquished by RESULTS DUE <br /> Received by VERBAL WRITTEN <br /> Loa�cU MV � 'M <br />