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7 Ms. CHAIN OF CUSTODY <br />www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br />Gent: Steris Corooration <br />Lab Number: <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo Avenue <br />TEST <br />DESCRIPTION <br />Santa Paula, CA 93060 <br />Stockton. CA 95215 <br />Chico, CA 95926 <br />AND ANALYSES <br />Visalia, CA 93291 <br />REQUESTED <br />TEL (209)942-0182 <br />TEL: (530)343-5818 <br />TEL: (805)783-2940 <br />TEL: (559)734-9473 <br />Env FAX: (805)525-4172/Ag FAX: (805)392-2063 <br />Customer Number: 3018091 /O <br />Address: Attn: Ravmond Doerr <br />FAX: (530)343-3807 <br />`� <br />FAX: (559)734-8435 <br />CA ELAP Certification No.1573 <br />CA ELAP Certification No. 1563 <br />CA ELAP Certification No. 2670 <br />CA ELAP Certification No. 2775 <br />CA ELAP Certification No. 2810 <br />1880 Industrial Drive <br />Libertvville. Illinois 60048 <br />Phone: (847)367-5275 Fax: <br />a <br />`J <br />Email Address: ravmond doerr(aDsteris.com <br />Contact Person: Ravmond Doerr <br />Project Name:= <br />IN SLwlf• 54octr-totit Cf+; QIa c? <br />Purchase Order Number: <br />Quote Number: <br />m <br />$ <br />zj <br />CD{ <br />_ <br />c� <br />H <br />O <br />m <br />o <br />€ <br />`. <br />C <br />0 <br />h <br />� <br />F <br />C <br />� <br />" <br />Z <br />O <br />3 <br />vl <br />Rush Analysis: � S Day❑ 4 Day ]3 Day❑ 2 DayE] 24 hour <br />Rush pre -approval by lab (initals):, <br />Electronic Data Transfer: EINo State OClient Other: <br />Sampler(s): <br />I �1�CL` <br />Sampling Fee: Pickup Fee: p <br />Composaor Setup Date: Time: <br />Samp Location Description Date Time <br />Nunn Sampled Sampled <br />Remarks Relinquished Datt � Time: <br />4 xL 1 e V S l� , te: T' ne: <br />Relinquish `` ate: Timef:� <br />Relinquished Date: Time: <br />Recei ed te: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo Avenue <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton. CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />TEL: (805,392-2000 <br />TEL (209)942-0182 <br />TEL: (530)343-5818 <br />TEL: (805)783-2940 <br />TEL: (559)734-9473 <br />Env FAX: (805)525-4172/Ag FAX: (805)392-2063 <br />FAX: (209)942-0423 <br />FAX: (530)343-3807 <br />FAX: (805)783-2912 <br />FAX: (559)734-8435 <br />CA ELAP Certification No.1573 <br />CA ELAP Certification No. 1563 <br />CA ELAP Certification No. 2670 <br />CA ELAP Certification No. 2775 <br />CA ELAP Certification No. 2810 <br />