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i -­ <br /> CASTLE ANALYTICAL LABORATORY CHAM OF-CUSTODY _ <br /> Location: 2333 Shuttle Drive, Bldg 9081909, Atwater,CA 95301 Certificate No.2480 <br /> Mailing Address:2333 Shuttle Drive,Atwater,CA 95301 PAGE�OF _ <br /> Phone:(209}384-2930 - Fax:(209)384-1507 <br /> Customer: ® a� ry �tE.QU1 5 i EG ANAL .....Sno <br /> co <br /> :I Method of Shipment: <br /> Address_ )'_ <br /> City/State/ZIP: 'rx� � X Y <br /> � � � � �. ¢ Notes: <br /> Phone/FAX <br /> (� z <br /> Pro]# I P.O. /Giobai iC3: �, j'��r� o ^� > it: I <br /> Report Attention: r � a s l o co y a <br /> Sampler Signature: IL "' F W m <br /> Printed: <br /> MV m a ;� z <br /> OBSERVATIONS/RE <br /> {{' <br /> SAMPLE IDDATE -TOME DESCI.RIPT&ON/ILOCPTION � <br /> 7. k . . l eG % 1°3� `yam �Pe� � ' <br /> a.d <br /> 'SYS&t 1•ri!�4;:p'?��`�:��:;: <br /> .- t� <br /> ._. ers submitter <br /> < _ _ T er of contain <br /> ... ...i..i::..a. .._..-.,..=.�_. .v...:'! ;•--:.til•_ <br /> laboratory <br /> - 3 t I <br /> the IY 1 <br /> l <br /> Relinquished by: ,7 �IWZZS `�OV41 �r �' �?✓ � 2�Py Note-All special requests :l <br /> quick turn times)must be cleared <br /> Received by: ,uMIZI, through authorized laboratory <br /> Relinquished by /9f ?>/✓o r ' personnel. <br /> Received by: -� <br /> i9 RESULTS DUE: <br /> Relinquished by: VERBAL WRITTEN <br /> Received by: <br /> I <br /> . ill <br /> I <br /> �I <br />