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M = O M M A I� r r■rrrA tI� .■. ..�. <br /> CAS's �. ANALYTI 'AL LAB0ILjkT0RY CHAIN d� CUS1RDY <br /> r, LuGadtn Castle Air Parti, Bldg 903 Atv;ater, CA 95301 Certificate No 2079 <br /> u <br /> Mailing Address P O Bah 1;163. Yrnitt,n, CA 95358 CO'O'L —�OF� - <br /> Floone 1209) 364 2930 - Fax 11209) 384-1507 <br /> Customer - C ! Cl) Y? r�V`•r C:r r1 RLO UFSTLO ANALV,ES Method of Shipment <br /> Addtass ��+ 7 !`�'►-� 1 d - c, R <br /> CttylStateJZiP r+ -L2 Nalas <br /> Phone I FAX. -� `} C ( }� pG; �b -U cC� ,� o <br /> w i <br /> Prof a r' P.O. F�rCLS'� ° °' -j v °� ? i{ <br /> CIL <br /> Report Attention a F w <br /> I Sampler Signature _ a � n tD M <br /> tt Printed <br /> u. <br /> ri Lab IDN SAMPLE 10 DA re 11ME DESCRIPTIONILOCATION 01 SERVATIONS.REMARI<S <br /> I1r — - <br /> rn <br /> (1 _ <br /> iw <br /> w <br /> LL <br /> LL <br /> w — <br /> Iz — <br /> — ---" Total rumtlPr of tort4uifers cutrmrhrd+o <br /> Signature Printed Wine Ddte Time Company Name thelaboralm% <br /> i- 1,- Note All st+eaal requests(e g qu+J <br /> P�etrnq'usltied bo �� iN� r -`> � J� � turn hnies)must be cleared through <br /> ce+wed by -r r' >'l+ %i� t: + `.& � " � :lir 4.�fl,�' � � r "'" . aul;tionzed laboralory Personnel <br /> %linqurshed by -yf <br /> Received by '� /7 / , -,�-f %� <br /> —�—� � � � RBSULTS DUE <br /> fleinqurshed bar � <br /> -, LrrrRilL i '.YhIrTFH <br /> yr fi a' l <br /> IZ+' ✓r I1�+St+�� . <br /> t + <br />