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FGL ENVIFONNIENTAL <br /> ANALYTICAL CHEMISTS ,- ^^ <br /> V <br /> CHAIN OF CUSTODY � �10 <br /> DATE: X115 jq 1°O� <br /> l5'If1i <br /> CLIENT: G//� dfCk £ '2 Y115� „�Bp�pA£P�?AlN <br /> ADDRESS: <br /> PHONE NUMBER: Z04) 83S "I co <br /> PROJECT NAME: G�O�q£ 5 SpYUpG£ 3ISIO S . '�IW2l.� 33 <br /> PROJECT MANAGER: VY (�Gotr��� � <br /> SAMPLERS: MZrIL D ecbCk <br /> Sample Location Date Time Nur..Ser of Tests Date <br /> Number Description Sam led Sam led ContainersRe uired Needed by <br /> rTv <br /> %L <br /> pH ;ssoo� �{a <br /> =UJZ'��t 1 5b a £ c aao c <br /> LW- alCdc 2-4C) <br /> mv1-4LS <br /> Relinquished By: VReceived Ey: Date Time <br /> Relinquished By: <br /> Received 6y: Date Time <br /> Relinquished Ey: <br /> Received Ey: Date Time <br /> MAIN OFFICE- 853 CORPORATION 5TRLLT- P.O.BOX 2T_ bRtN Cr:OFFICE- 25(1:!SlAGLCOACH FOAP <br /> d LABDRATOFY $ANrTA PAULA.CAUFORNLA 93060 -72 6 LA&ORATORY -1 OCI:TONN,CALIFORNIA 9520; <br /> (605)5253824- (605)659-0910 M)P)942-0161 <br /> FAX (SOS)52S,4172 FAX (2(F)9+2-0423 <br />