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CHAIN OF CUSTODY <br /> ENVIRONMENTAL ACiRiCUIA"UPA1. www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> client Diane Allev Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Cunomer .Number: 3017752 3 <br /> Address: 5151 E. Morada Ln <br /> Stockton.CA 95212 <br /> Phone: (209)403-3341 Fal: <br /> Finad Address: dallev205comcast.net <br /> Contact Parson: Diane Allev <br /> Project Name: C7 Q O O L <br /> Purchase Order Number: <br /> O _ <br /> Quote Number: C7 _ a ^ `m <br /> Rush Anelysh: 1:1 5 Day[:]4 Dey E]3 Dyo 2 Day❑24 haw E <br /> o @� <br /> Rush pre-approval by lab(mush): $ L+ a <br /> Electronic Dow Transfer: ❑No❑Stole[_]Client Other: 9 rn <br /> 9. U <br /> Sampler(s): _g m z a <br /> Sampling Fee: kup Fee: 3 o a F tm <br /> Composuor Setup Daze: Tune; n o F m <br /> Samp Location DescripronDate Tune z FQ i <br /> Num Sampled Sampled <br /> 1 Wellhead a G 2 P P DW SRL 6 1 1 Xr <br /> I <br /> Remarks Re' quisM1ed Daze: Tone: linqu ed e:! Tunr. ReWquhhed Dete: IT:/70 lu l� <br /> Rete ed to Tim¢ Received By: e: 'rime: Received By: D s: Tone: <br /> G P 8°L � � �g 17U �{ 1 <br /> Corporate OHlcea&Laboratory Office&laboratory Office 6 Laboratory ORlco a Laboratory Office 8 Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Pauta,CA 93060 Stockton,CA 95215 Chico.CA 95926 San Lula Obispo,CA 93401 Visalia,CA 93291 <br /> TEL:(605)392.2000 TEL:(209)N2.0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)525.11721 A9 FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Gerd(cation No.1573 CA ELAP Certlecalion No.1563 CA EIAP Certification No.2670 CA ELAP Cortificalion No.2775 CA ELAP Certification No.2810 <br />