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I <br /> Nam m m m m m m <br /> _ i <br /> CASTLE ANALYTICAL LABORATORY 7 CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mai4tng Address 2333 Shuttle drive Atwater, CA 95301 PAGE-OF- <br /> Phone (209) 384 2930 Fax (209► 384 1507 <br /> I i <br /> I Customervo d rp ) �r) REQUESTED ANALYSES Method of Shipment <br /> Address _ (}p ' <br /> City/State/71P 1 m d CA- lherl)! <br /> LU <br /> Phone FAX _ 9 a s ¢ �`rtes <br /> Pro) # , P 0 # w s i w WmC'J S�jjj.7 rhk Si- <br /> Report Attention a 6 = ' LL araC jtfsf� D�j <br /> � � IL G <br /> Sampler Signature u E a m 11.1 1)64 [b24r)oj <br /> Printed u �, VO � c{np -P <br /> z �k <br /> Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION �NSJf;EAAARK5 <br /> 0 94 — , b 56926 <br /> 5A <br /> r <br /> 8--Z <br /> Zi 56927 <br /> 55928 <br /> I <br /> 56929 <br /> 56930 <br /> I <br /> Signature Printed Name fate Time Company Name Total number of laboratory submitted to <br /> t� P Y the laboratory <br /> Ir <br /> d by « f L# �� rL r y Z- 6Ta� `L • Note All special requests(e g quick <br /> y _ a turn times)must be cleared through <br /> q7 <br /> d byauthorized laboratory personnel <br /> yd byU�� I{�TL� LU RESULTS DUE <br /> �r i "', 1' <br /> VERBAL WRITTEN <br />