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CASTLE ANALYTICAL LABORATORY ORY ���{<-�-�' � ,C� �� ��� ��0� � � C CHAN OF CUSTODY <br /> Location. 2333 Shuttle I Drive, Bldg 9081909, Atwater, CA 95301 Certificate No.2480 <br /> Mailing Address:233'3 Shuttle Drive,Atwater, CA 95301 PAGE OF_— <br /> Phone:(209)384-29301- Fax:(209)384-1507 <br /> Customer: - <br /> �ovQ� :", _' ::,REQ;UEST L, 'ES,,._...,.,...... Method of Shipment: <br /> Address: .0 I pg w <br /> City/State/ZIP: Ve 14A c" / m 2 x <br /> o m w ¢ Notes: <br /> Phone I PAX: - _jdoo o a z <br /> Prof /P.O.#: W a � o <br /> U c6 U U <br /> Report Attention:' I r ., a a m w nEL <br /> O = c1[ p <br /> W. E � o Q L p W <br /> Sampler Signature: N <br /> Printed: C° N <br /> o . <br /> 6 atis;9fi r SAMPLE ID DATE TIME DESCRIPTION/LOCATION " OBSERVATIONS/REMARKS <br /> f� <br /> r I D &w& m e2ZIIQ /41-0v <br /> Lhp <br /> I. <br /> s •'o•^ - � Total number containers su miffed to <br /> - n. <br /> I' <br /> cs <br /> 1 <br /> `Rri:ite"d'.- '.trim' T.T.I. the laborato <br /> - rN'a e`• .Dat. irl'e:i' rn`'�n;'.;�I��am�.: ry <br /> Relinquished by: ) t'`2 °d � �+ y 3–Z647 11e gt Note:All special requests(e.g. <br /> Received by: .j Ind) XA41a,-c quick turn tithes)must be cleared <br /> through authorized laboratory <br /> Relinquished by: ZL� ersonnel . <br /> Received 6y: „ ?' 7AL4A,7 68 <br /> Relinquished b : 1 3 RESULTS DUE, <br /> Received by: ;I m'' I <br /> VERBAL WRITTEN <br />