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r� r i r r rr r r � � �, �! s r �■i■r r� r � <br /> CAST ANALYTICAL LABORATORY CHAIN OF CUS►� <br /> r Location .2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95341 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater CA 95301 PAGE ! OF <br /> rrr <br /> Phone (209) 384-2930 Fax (2091 384-1507 <br /> Customer 4 REQUESTED ANALYSES Method of Shipment L <br /> Address l a C ove V-V)I j <br /> CttyfStaEelZlf' r 0 K aa <br /> p cn z Motes <br /> Phone ! FAX 4 w <br /> Prot # Cr d e, <br /> r d = <br /> Report Attention w i = a <br /> Sampler Signature L g '� ~ <br /> m <br /> Printed z <br /> L SAMPt E lit DATETIME DESC#tti►TI0NIL(1GATlDIV c56423 SIR£MARiC5 <br /> E ' <br /> 12,-ITA tt 56429 <br /> o t} a`ts 56430 <br /> 66431 <br /> + <br /> Total number or containers subm=Ned to <br /> S! Mature <br /> Printed Name pate Time Company Name the satiaratary <br /> Retrnquished by yvT v l Note Alf special requests(e g qusck <br /> Received by C1Uq5Y turn times)must be cleared through <br /> authorized laboratory personnel <br /> Relinquished by <br /> Received by <br /> Fieiinquished by ;'S Qi Y _ ' + _- _L_—� RESULTS DUE <br /> Received by VERBAL. wRiTTEN <br /> 1 <br />