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CAST ANALYTICAL LABORATORY <br /> _ _ �' CHAIN OF CUSTODY <br /> `4 <br /> 1 I�iI�n nines .�i�i�� i�im ull�l�� i�Piinnn��l}. <br /> Location 2333 Shuttle Drive Bldg 9081909, Atwater, CA 95301.,,,.,1,1.11,1,1. Certificate No 2079 r \` <br /> Mailing Address 2333 Shuttle Drive, Atwater CA 95301 Lii PAGE OF—'L <br /> Phone (209) 384-2930 - Fax (209) 384-1507 <br /> Customer Adwxpd .!KXe it' y C REQUEST D ANALYSES Method of Shipment 1 <br /> Address — , ��C,,r, A � � �A /)✓��` <br /> City/State/ZIP ;5nnC e -7 -p m 13 x o � <br /> V U LL' f ° -j Q Notes <br /> Phone 1 FAX w F <br /> Pro) # {4km@r--W wAsb, v Q a o v cai <br /> Report Attention 6L o a = a <br /> Sampler Signature $ H m ` m <br /> Printed y <br /> c <br /> z <br /> Lib 1D# SAMPLE 10 DATE TIME D£SCRIPTIONILOCATION pc OBSERVATIONSIREMARKS <br /> ?tom `t 45 <br /> —IP306(o Iq 56688 <br /> —v3 tv 4 41 56689 ` <br /> 1 g r <br /> Y L <br /> 56690 + <br /> 56691 <br /> 56692 f <br /> k <br /> I <br /> I <br /> Total number of containers submitted to <br /> Signature Printed Name Date Time Company Name 0— the laboratory <br /> Relinquished by i Zel&A L4kb A"Jjl(ItU Note All special requests(e g quigk <br /> ,� (,r turn times)rti k � �t!tf thioGghi <br /> Received b2_4y r a I r'� dlltlitrnxed la i ry p rsonnel <br /> Relinquished by J f <br /> [Relinquished <br /> eceived b <br /> byeceived by - VERBAL' YVRtTEAI.� <br /> 6 <br />