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A & L WESTERN LABORATORIES, INC. <br /> 1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br /> A <br /> e <br /> •G[KulNu ENV140NMEM<l INDUSTRIAL <br /> CHAIN OF CUSTODY <br /> U <br /> Client Phone �i%— <br /> Address � >��� i 1� �! CC to: <br /> r <br /> (.! Q 1 <br /> Signature of person authorizing work <br /> terms stated below1 �t <br /> under ' _ .r-' � 7 <br /> 'Net 30 days. All accounts past due will be subject to interest charges of 1.5% per month. <br /> 'Hazardous materials are the property of the client. The client is responsible for proper disposal of hazardous wastes. Clients not <br /> picking up hazardous wastes may be assessed an appropriate fee. <br /> PROJECT I,D No ANALYSIS 4 <br /> / <br /> of <br /> . Con- <br /> Y: (sigure): rain <br /> SAMPD ;w <br /> ^Bers ,+` t REMARKS <br /> sample <br /> type Sample Location <br /> Date Time 7,a, 1-1 <br /> T' / X <br /> � — <br /> E" z(� ♦ ) f% 7 � <br /> Relin ish+ed by(sig e): ,Date Time Received by(signature): Date Time <br /> Relinquished by`�signature): Date Time Recei1 t2 <br /> ved by(signature): Date Time <br /> r <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> Dedicated Exclusively to Providing Quality Analytical Services <br />