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M Mir IM M = M M M mom IM 1111111111110 � W <br /> CASTLE ANALYTICAL LABORATORY IgIaG2 e, CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 908/909. Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGELOFL <br /> Phone (209) 384-2930 - Fax (2091384-1507 <br /> Customer 1 REQUESTED ANALYSES Method of Shipment <br /> Address W <br /> City/State/zip ' 6 <br /> 0 Z <br /> W <br /> Notes <br /> R <br /> Phone 1 FAX✓EW s s W N 4t 0 <br /> .- <br /> ProjIPO a• _ 1 �zcL = d a <br /> Report Attention �- tu X IL 0 <br /> Samp)er Signature m <br /> Printed <br /> Lab ICS# SAMPLE ID DATE TIME UESCRIPTIONILOCATION OBSERVATIONS/REMARKS <br /> :40-1 z-a - 21 2 31896 <br /> I f Z <br /> 1 4,130 <br /> 31897 <br /> { <br /> 31898 <br /> �+► L S' <br /> 31899 <br /> 1 <br /> n <br /> Z- X1 <br /> 31900 <br /> LL y ` 31901 <br /> 31902 <br /> i <br /> I i <br /> Total number of containers submitted to <br /> Printed Name at Time Company Name the laboratory <br /> Relinquished by / a Note All special requests(e g quids <br /> Al2,Kw-1(47V tum times)must be cleared through <br /> Received by Caw t) N9 �- authorized laboratory personnel <br /> Relinquished by <br /> Received by <br /> Relinquished by PASS p�1�I RESULTS DUE <br /> Received by aa�ca��i— P°IATE VERBAL WRITTEN <br /> -- �, l .v <br />