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CHAIN OF CUSTODY <br /> www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client: Diane Allev Lab Nwnber. TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3017752 3 <br /> Address: 5151 E.Morada Ln <br /> Stockton.CA 95212 <br /> Phone: (2091403-3341 Fax: <br /> 9 <br /> Emag Address: dallev20C�comcast.net <br /> comm Person: Diane AIIeV <br /> Project Name: t7 2 c <br /> Pmchate Ord"Numbcr: <br /> Quote Number: _ f7 £ r'1 _ E r� <br /> 8O <br /> Rush Anelysv: El 5 Day 4 Day 3 Dey❑2 Day❑24 hour a <br /> Rush pre-approval by bb(inoak): d $ $ u rgC(a5 <br /> Electronic Date Transfer: No State Client Other: <br /> � 51. � U y��I` ♦Ip <br /> Sampkr(s): <br /> m o <br /> E _ <br /> Sampling For: kup Fee: <br /> b T c <br /> Compositor Setup Daze: lime: <br /> Samp Location Description Date Tame Z err m 2, v'_ o i 0 <br /> Num Sampled Sampled <br /> 1 Wellhead f rx f o G 2 P FP DIN SRC 6 1 1 X <br /> �F- <br /> Remark <br /> RequisM1ed Dae: Tbnc: linqu ed 9u.:! Time: Re)inqubhed Date: <br /> CPQ I a �l9/i8 /70 6) <br /> Rccc ed D sect Tbne: Received By: e: "rune: Received By: Plc: Time: <br /> �' �cL l q� , 7 � i�/7U <br /> Corporate ORlcea 6 Laboratory Office&Laboratory Office 8 Laboratory Office&Laboratory Office S Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linda Avenue 3442 Empresa Drive,Suite O 9415 W.Goshen Avenue <br /> Santa Paula.CA 93060 Stockton.CA 95215 Chico,CA 95926 San Lms Obispo,CA 93401 Visalia,CA 93291 <br /> TEL:(805)392-2000 TEL:(209)842-0182 TEL:(530)34}5818 TEL(805)783-294D TEL:(559)7349473 <br /> Env FAX:(805)525-0172/Ag FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(BDS)783-2912 FAX:(559)7344435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA SLAP Certification No.2670 CA ELAP Cemmcaeon No.2775 CA ELAP Certification No.2810 <br />