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CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 Certificate No. 2480 99 <br /> OF <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PAGE l <br /> Phone: 209 384-2930 - Fax: 209 3841507 _ <br /> Customer: t �wt'ciFr v o REQUESTED ANALYSES Method of Shipment: <br /> Address: r✓, — <br /> �L��'?2.. a x " <br /> �. �_ a Notes: <br /> Ci /State/ZIP : A m o <br /> Phone / FAX: 2 �{ — 431 g < N < - J d 0 <br /> Pro'# / PO# /Global ID: tbO 21 ! S J W <br /> o <br /> Report Attention: T t � �, w <br /> " g m x m a J M <br /> Sampler Signature: i _ <br /> S w 0 1 - v 'z <br /> Sampler Printed: S �. rt = o — <br /> Lab ID# SAMPLE ID DATE TIME DESCRIPTIONILOCATION m OBSERVATIONS/REMARKS <br /> MhM - C 1 fors- to"W 5 s I I I 1xxx <br /> 2 tv :Zq XIAXI II <br /> -3 co �138 x x X1 II <br /> x <br /> - 05 � ' irks U x 7C t <br /> 1— uobmero containers <br /> smn <br /> Signature Printed Name kDate Time ame laboratury <br /> Relinquished by: . urn <br /> Around Time% <br /> Received by: 41 T 24 Hour E] <br /> - t3 : <br /> 48 Hour El <br /> Relinquished by: <br /> Received by: 3 Day El <br /> Relinquished by: 5 Day (Normal) t l <br /> Received by: Special: <br />