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S Drive, Bid 9D 09 Atwater CA 9 O1 Certificate No 2b�79 � CUSTODY <br /> CASTLE ANALYTICAL LABORATORY CHAIN <br /> Location 2333 Shuttle D e, g 819 53 j <br /> Marling Address 2333 Shuttle Drive, Atwater CA 95301 PAGE__t_OF[ <br /> Phone (209) 384-2930 Fax (208) 384 1507 <br /> Customer reREQUESTED ANALYSES Method of Shippme+n-t. <br /> Address . W ! & L u a C�7 (lkiG <br /> City/State/zlp v-k tolnOA Z - jN 4 "L z Nates <br /> Phone / FAXz I <br /> ue Y 3 :i w w m o I <br /> Pro( # 1'- �' fLti r C �l t r " a a [1 i 5 0 <br /> Report Attention 0'L-(e-1 / w CL " a Ce O l <br /> Sampler Signature a 3 m " m I <br /> PrintedLO <br /> T " N <br /> z <br /> Lph MDK SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br /> 56432 <br /> Ii 11 Y Z � <br /> 13413 ► 56433f <br /> 56434-1- <br /> 56435+ -' <br /> Total number of containers submitted to <br /> Signature Printed Name I Date Time Company Name the laboratory <br /> Relinquished by „ y Nlcgl t S �( Note All special requests(e gquick <br /> Received by <br /> ,y turn times)must be cleared through <br /> authorized laboratory personnel <br /> Relinquished by VQA4 7 Mt i ` 'i t <br /> Received byifft <br /> p�if ; titTlO 1 �_ <br /> Relinquished by 1, RESULTS DUE <br /> Received by Qj i I IS VERBAL WRITTEN <br />