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Subcontract Chain of Custody <br /> lL(v241-Uv <br /> -, , CLIENT DETAILS: REPORT INFORMATION: <br /> Chent: F.GsI„Environmental Rush Analysis: ❑5 days ❑ 4 days ❑ 3 days ❑ 2 days 0 24 hours <br /> Address: 1853 C-6m©ration Street <br /> Santa Paula CA 43D61 Electronic Data Transfer: YES /NO <br /> -Phone: 8D5..65 9771-1.4Z <br /> 10 Fax: 8(, 05) 525-41,72 <br /> Ptaject: - . Z Contact Person: If yes, To: State Client Other <br /> REl�'ikRKS; , n <br /> oN � <br /> o z � <br /> 9 Nz a <br /> SAMPLING: y ? N <br /> M <br /> Sampler(s) c_..Gec /T y�{7 / Z �ov .t <br /> lL-1 l�b� o ° v <br /> Rl Z z Q <br /> N � N <br /> Sampple - Location/Description Date Time H F cz <br /> Number Sampled , STiplecL <br /> CUSTODY y n , I�� � <br /> Relinquish d to ` Date: Time:F Relinquished hy: Date: Time: <br /> Receivedby: �,� j� Date: Time: `d. 2'; Received'b Date: 1/1 0 j Timer <br />