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FRUIT GROWERS LABORATORY, INC . CHAIN-OF-CUSTODY <br /> Date: l$_ . <br /> Client: wF_34.ty,_ 1M l i"4c stiruk <br /> Address: v <br /> ro <br /> N C <br /> V '^ <br /> Phone: (_)_ _ u xn o <br /> r <br /> Fax: <br /> O 6 01q Z+ <br /> q <br /> x <br /> Project name:C(,L.S I/VI R4,J � e. 'om = •o � <br /> a V N <br /> u u o n L <br /> Contact person: T li- <br /> y�^ <br /> oLn o. xz <br /> u q O EI-N <br /> Samplez(s) : I /,[��Y'L => . S (dC� � y ••• � <br /> h <br /> W G <br /> 6 d <br /> Comp sampler setup:Date: Time•_ E u w <br /> m <br /> Time: Mileage: ' t w L Y z oxn ^y <br /> y C ^ q V L S v L T m N <br /> Purchase order number: 'v <br /> QA/QC report required: Yes_ No ✓ e V o` A c v q c a qw <br /> ux mil c cx N <br /> Lab number: L 'L I u q a <br /> o L o o u s e x w y o <br /> Sample Location/Description Date Timempo a u =m <br /> Number sampled Saled i ^ ��, v ` n <br /> V <br /> 0 C 0 19 <br /> NVI ON EN AL EALT f <br /> Misc. notes: alio i.`sh d y: Da[e: Time: Received Date: Time: <br /> Rush results due by: ` Q �' /�h'- e�`/•�� �n <br /> Final sample disposition: <br /> Lab disposal: Return to Client: <br /> Meth, of disp. : Date of ret. : <br /> , ..n.., n..., .:...... .....0 <br /> Field Office <br /> vlsalm r nil <br /> .. <br /> Monac:Iz...,iia6273 <br />