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FGLEN-%71R*NTN1ENTAL <br /> c� <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> APR 18 s"^ <br /> DATE: 3 phoIg 0 --NVIRONMENTAL HEALTH <br /> JJ PERMIT/SERVICES <br /> CLIENT: M ao � rn z v� -� Lk),J�r 5 S`��w�-� <br /> ADDRESS: Yl F'lL <br /> PHONE NUMBER: <br /> PROJECT NAME: <br /> PROJECT MANAGER: t ofj <br /> SAMPLERS: Z(�( fd <br /> Sample Location Date Time Number of Tests Date <br /> Number Description Sampled Sampled Containers Required Needed b <br /> Nd• ��� 3�'`�� 0 i��IS � �� 'ftit) <br /> 2 5a. aha 3 ��ab fa:�,p <br /> Relinquished By: Received By: Date 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 /> d LABORATORY SANTA PAULA,CALIFORNIA 93060-0272 &LABORATORY STOCKTON,CALIFORNIA 95205 <br /> (805)525-3824--(805)659-0910 (209)942-0181 <br /> FAX (805)525-4771 FAX (209)942-0423 <br />