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FGL ENVIR.sNMENTAL <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> DATE: 11 �� SC, <br /> CLIENT: C Zl, 6Y fuC+{old <br /> ADDRESS: PC. Gby- ! �1o ✓1 I ' w . 5 z t <br /> I <br /> PHONE NUMBER: _2 oel i 6S 5 S S <br /> PROJECT NAME: W&,A 02h_S <br /> PROJECT MANAGER: ' `� 4 �� LJ I Cl/— <br /> SAMPLERS: <br /> I/SAMPLERS: <br /> Sample Location Date Time Number of Tests Date <br /> Number Description Sam led Sampled Containers Required Needed b <br /> 'TaAL * I Illti {e:13 A,M 1 �rx4-F ozO) <br /> PM fT 5o r <br /> Z TL�ILsc q taxlu� 11/'i IV60 I Ct(kdEC&»n� <br /> I e iC 1 5 o Oft. <br /> Fie Ian <br /> 3 1 6Txr�CaO� <br /> a��� IZ e,� II l- cPd(~sso <br /> ��z�r� aTx<�(seio) <br /> az� M4 <br /> A v e Z Lr>s o . •) <br /> w( fwd . [+� o-£•,80 <br /> A'35 r <-10 r <br /> � <br /> 4as�i�a ,`� ,2.v�lw¢ I S I LJ, Y^~ <br /> ft)( 'c (8ays3 <br /> Reli quished By: 11 to Time <br /> Relinquished By: Received By: Date Time <br /> Relinquished By: Received By: Date Time <br /> MAIN OFFICE- 853 CORPORATION STREET- P.O.BOX 272 BRANCH OFFICE- 2500 STAGECOACH ROAD <br /> i &LABORATORY SAMA PAULA.CAUFORNIA 9306G-M72 &LABORATORY S OCKTON,CALIFORNIA 95205 <br /> (805)525824-(805)659-0910 <br /> FAX k9m hie"A FAX CO)942-0423 <br />