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tttlltl� � �� tIIIIIIIII! � � � � � � !•� M! <br /> CASTLE ANALYTICAL LABORATORY M-30 z0e AO CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE 1 OF_L_ <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer C j Go o v on iy"tri I T-m REQUESTED ANALYSES Method of Shipment <br /> Address w d <br /> G �hC6 <br /> City/State/ZIP S p t Gi Lo x U A <br /> PhoneF 9 r ° E z Notes <br /> 1 AX n oo o <br /> Pro) #, �- a a m o a c0i <br /> Report <br /> Attention- y a v = w <br /> Sampler SignatureEm <br /> Printed 7 <br /> lU z <br /> Lob lD# SAMPLE ID DATE TIME 0 ESCRIPTION&O CATION OBSERVATIONS/REMARKS <br /> C+� <br /> h-xi ` - -W 1100 , <br /> opg 35633 <br /> t� AW-313-31ISb <br /> [p 35534 <br /> Co 35635 <br /> r�1V W 1 C13-3m 132D , <br /> r- 5 <4 1 35636 ,t <br /> 35637 <br /> 35638 <br /> , <br /> 35639 <br /> 35640±LEH <br /> Fi <br /> Total number of containers submitted to <br /> atlrre printed Name at Time Ct,m any Nam13' ll,e laboratory <br /> Relinquished by ,!Lydia � Note All special requests(e g quick <br /> Received by �p� �'at} ca f0a r h� turn <br /> time )orized must <br /> be <br /> ery cleared <br /> eonnelugh <br /> Relinquished by <br /> Received by <br /> Rahmau►shed by ICED I1 f1 � "�I RESULTS DUE <br /> Reserved by 60011�QrdulllCtlf APPiFrl,ti VERBAL WRITTEN <br /> NUOURAUE <br /> ,� i .� ccr �,,i��s ,✓ <br />