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i <br /> D <br /> cQ <br /> • N <br /> aD <br /> all www,fglinc.com CHAIN O.F CUSTODY" <br /> AND ANALYSIS o <br /> �QUE,ST DOCUMENT' <br /> cam"" Anthony FusoCO <br /> Number: TEST DESCRIPTION AND ANALYSES REQUESTED 7:3customer tlumbw 3018032 Lab, <br /> Addrena: 2217 W.Vine Street <br /> Lodi,CA 95242 D <br /> Phone: I2fl11�(L23fi65 F� — <br /> r,,,aa Addre,,: Hg3ecomcautnet <br /> contact Person: Anthony Fuso n <br /> c <br /> Projeet Name: 22100 Bruolla Rd,Aeampo,CA 95242 to <br /> Purchup Order Nutttlxr. 0 <br /> Quate Number. � 1C� Y_H, <br /> Rush Aamtysa: Q S Day a 4 Day Lj 3 Day❑2 Dy❑24 Iron, <br /> R—h_Prc np"rova}by lab((nimb): - _ _ 2 <br /> Electronic Dnta Transkr: M No❑Siete f7chent Otho: <br /> SamPf:ng Fes: Picku Fax: <br /> compmitvr$emy rme: Time. !S t H <br /> Sas�nnp Location ihltrgxion d SampledFFC <br /> J* <br /> 0 Travel Blank 08174/17 1)1,5 <br /> 1 �AWJ 2 x <br /> i M10117 <br /> 1 1 2 <br /> CD <br /> I � <br /> ------------ <br /> — J <br /> -marks 6) <br /> R qa shuS Date: T6tte Re unttnl <br /> Paid by Vfaa 6nq p Date; Tune: Re{Inqunyh-cd� Ddtr jTm�e: <br /> 5226.00,JR O �� IVT So 17 <br /> Rxeived Qy; Dart: --T—Tune Received BY: Dpc; Tune: <br /> 101 1355 `� Ib o7 1'7 ey��: DaIli lil <br /> C-P-Vft onto" LA <br /> Q6a Caepo,atki,t 9tr�et �'a00ry z�Baa a a s zae Oflles Lebo <br /> Santo Palate.CA BatT60 Stockton,Cd 96p45 []ndoA 3442 Cmp ash ndw tulle h Ofrle�8 1� <br /> TEL:(8o6)302-2400 Vim,CA 85826 Sa li Luta QWsM.CA 9 W 7 4/16 W.Qostxm Ayartue <br /> TiL(~09}842-0182 TEL:(590)34 5818 TEL(645)783 2940 �0.. I <br /> CA FAP(606)s abon 7],I Fax:leoa�laa-2063 FA (zl7e)eds-04za ( 0)4{,7..3441 WATEL a.CA 3a-9at3 <br /> CA FLAP COftlRae6nn 4,o,t6TS FAX: 53 FAX:(606Y783 2014 FAX:(558)734-8435 <br /> C.A ELAP Ce.NDoatlpt No.1683 CA BLAP Certttteallen hla.2474 CA F1-AP)7a&ComC l2 Pio.2T75 <br /> CA FLAP CerU 1 aQ.N<L 2810 <br />