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FGL ENVIRON-.MENTAL J <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> DATE: /� ��G P <br /> CLIENT: / /t? ' f �JL ��Cic Tic dC.T7n F; ` Tip y <br /> ADDRESS: <br /> PHONE NUMBER: &-=-07\1Z <br /> 77 <br /> PROJECT NAME: %kyey &-=- 7\1Z6 I-)L—Pc 7- <br /> PROJECT <br /> PROJECT MANAGER: <br /> SAMPLERS: <br /> Sample Location Date Time Number of Tests Date <br /> Number Description Sam led Sampled Containers Required Needed b <br /> 'Vz1,7Bri( <br /> I <br /> drxata <br /> -:- <br /> 1.240 <br /> /a TP <br /> /2vU0. rX PE <br /> 9 � _ <br /> Ao,erh F,%r coev, <br /> 3 e <br /> AiaenrW&S7- elok <br /> rreE- <br /> `7 /-;k- 2O , n <br /> ,56vm Wt�r 7- 40AZ^�7.e rx eh�- <br /> .SOui7r cHsr Ga�.�e,e U'7->C Of E <br /> 21 <br /> Relinquished By: Received By: D to Time <br /> Relinquished By: Received By: Date Time <br /> Relinquished By: Received By: Date Time <br /> �`MV4.Lzk-3 <br /> MAIN OFFICE- 853 CORPORATION STREET- P.O.BOX 272 BRANCH OFFICE- 2500 STAGECOACH ROAD <br /> &LABORATORY SANTA PAULA,CALIFORN A 930 G4= k LABORATORY STOCICTON,CALIFORNIA 95205 <br /> (805)525-3824-(806)639-0910 (209)942-0)81 <br /> FAX (805)5254172 FAX (209)942-0423 <br />