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li � li li (ww (ww taw t� � taw ttttttttw tww w w w w tlllw +w■ � <br /> CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive Bldg 9081909, Atwater, CA 95301 Certofrc,ate No 2079 <br /> Marling Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE_ ,� OF �� <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer P REQUE 6fj NA,�LYSES Method of Shipment <br /> Address <br /> 957 5 AA JAI R ond _ <br /> City/State/ZIP' 45J a Notes <br /> Phone 1 FAX - o - d i (? v _ W <br /> Prod # IPO # �e a— a o <br /> Report AttentionIr' W a CL _ o <br /> Sampler Signature- g 0 °�° -� m <br /> kL <br /> Printed v <br /> Z <br /> Leb.lp#1 SAMPLE lD DATE TIME DESCRiPTIONILOCATION OBSERVATIONSIREMARKS <br /> �h �s •��� c �� 86164 <br /> � 86165 <br /> m � Bs l 66 <br /> P irEE INON <br /> A P('rr RI <br /> bli , <br /> Total number of containers submitted to <br /> Igrlatur� Printed Narpe Date Time Compo Name the laboratory <br /> Relinquished bydlg Note All special requests(e g quick <br /> Received by turn times)must be cleared through <br /> authorized laboratory personnel <br /> Relinquished by <br /> Received by <br /> Relinquished by RESULTS DUE <br /> Received by VERBAL WRITTEN <br />