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WEEK <br /> CASWE ANALYTICAL LABORATORY (3gp�— �� C) � � CHAIN OF CUST Y <br /> Location 2333 Shuttle drive, Bldg 908/909, Atwater, CA 95301 CertificateNo 2079 / <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE OF <br /> Phone (209) 384-2930 Fax (209) 384-1507 <br /> Customer REQUESTED ANALYSES Method of Shipment <br /> Address ' n 100-V <br /> City/State/ZIP T ;� m o �, a Notes <br /> Phone ! FAX- {JUCn / w w W m o <br /> Proj # IP0 # '- � Cc1< l r4 ul <br /> A a z <br /> U- <br /> CL <br /> Report Attention E (L r <br /> Sampler Signature a 8 m <br /> Printed z , <br /> Lab IDS SAMPLE ID DATE TIME DESCRIPTIONILOCATION r <br /> O2426 ks <br /> w' 111-21-,ici Z-,j2x1q I V 4 <br /> 02427 <br /> k'Z <br /> U 17 ' <br /> }248 <br /> r <br /> Ilk <br /> 02429 <br /> k1" - 1-2149 O243n <br /> X 4-7 1-21s )'� <br /> hw �Z � ' To t 02431 , <br /> 02432 <br /> r <br /> 02433 <br /> 02434 <br /> 02435 <br /> Total number of containers suomrtted to <br /> n Printed Name Date Time Company Name the laboratory <br /> No, quick <br /> Relinquished by <br /> tun 02436 rugh <br /> Received by V.1 A auf <br /> 3 r <br /> [Relinquished <br /> inquished by <br /> ceived by ( F �� �- <br /> nrl �rlt�� '�',� 1 iJ1 IE RESULTS DUE <br /> by Un t.r �011 °ceived by WEN)S�hU ,',,kt VERBAL �- wRITTE 1 <br />