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FGLENVIRONMENTAL `•' <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> V <br /> DATE: 2'/go .. <br /> CLIENT: C,�ZL) �- , <br /> ADDRESS: 1E. Locif-fp{ 5 5z <br /> PHONE NUMBER: Uct d <br /> PROJECT NAME:La <br /> Dtiss,l_ <br /> PROJECT MANAGER: 5�E.v Pz 1 <br /> SAMPLERS: �zr I -- QCO <br /> Sample Location Date Time Number of Tests Date <br /> L- Number Description Sampled Sampled Containers Required Needed b <br /> # - 1 <br /> 3. zo A'1w 9R- ,�� <br /> Qartk E'%' <br /> "-L £pB <br /> ` Ila y ,rIZ f a ld LO <br /> Los <br /> Ix <br /> Relinquished By: Received By: Date Time <br /> G <br /> Relinquished By: Received By: Date Time <br /> Relinquished By: Received By: Date Time <br /> MAIN OFFICE— 853 CORPORATION STREET - RO.BOX 272 BRANCH OFFICE— 2500 STAGECOACH ROAD <br /> &LABORATORY SANTA PAULA,CALIFORNIA 93060`0272 &LABORATORY STOCKTON,CALIFORNIA 95205 <br /> (805)525-3824--(805)659-0910 (209)942-0181 <br /> FAX (805)525-4172 FAX (20919424142'3 <br />