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Y <br /> CASTL ' ANALYTICAL LABORATORY cc zcol 9U ^ 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 fiviak.e—A t F�lrE }Y.t�lAL1jSf� ' Y ry -} Method of Shipment <br /> Address3 LaSt\�, �' A overn6S <br /> clty/StatelziP. GAS i' o z <br /> Notes <br /> Phone 1 FAXou I kn—Lkol-1111W rn ; z <br /> Pro) # / P O # & 21 v U <br /> Report Attention w ° e z a o <br /> Sampler Signature $ m <br /> Printed <br /> z <br /> LIgbJP# SAMPLE ID DATE TIME DESCRIPTIONILOCATION OBSERVATIONS/REMARKS <br /> x�t <br /> ve 47856 , <br /> x L <br /> 3 f4 3 <br /> e A_wrl K <br /> I � <br /> 0. <br /> —Z-1 s <br /> a r <br /> r <br /> M <br /> i �' k 1 ! •✓i E _ 4 s 4 1 ! y W l uM i erg submitted to <br /> Total number of contain <br /> x t ifule - flrjrlted Name D' 0- 'C1 aF ;C; m ¢ <br /> r51 `"! r the laboratory <br /> Relinquished by C Note All special requests(a g quick <br /> Received b turn times)must be cleared through <br /> y authorized laboratory personnel <br /> Relinquished by <br /> Received by „ VUAbjlJa <br /> Relinquished by R.PQ <br /> LQ <br /> r I ,n r RESULTS DUE <br /> Received by , VERBAL <br /> L.IWRITTEN <br />