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F UIT GROWERS LABORATORY, INC . CHAIN-OF-CUSTODY <br /> Date. <br /> Cll<nt. i4e, WS J✓ �-� <br /> � 9 <br /> Phones <br /> 1►ddrasa: � <br /> A <br /> N C <br /> / p <br /> S3 0 u p o <br /> tO n d •Y <br /> Fax: •- <br /> a rn a x r• <br /> o cr x <br /> Project name. �• o v u p �Yp N <br /> L <br /> Contact person. as w a p d <br /> u m o <br /> t, r _ __ 4 •.• L <br /> Sampler(s) : <br /> CL 1. <br /> Camp sampler setup.Data: Time x N e <br /> _� ��. a eo ........ .+ w o = <br /> E A Hm <br /> Time. Mileage. 6J C L X '7 d L a1 <br /> +�u <br /> 41 1w v X <br /> A C y ^ ,a 41 L Y A L ?_4 .}.. <br /> Purchase order number. <br /> Q O a, Y V} 9. w rz Y W Ch v <br /> QAJQC report required YetNo h GJ u Vb o n <br /> Lab number. .. -_ 7 0 o > a L <br /> o o L `o W1 4A e. Noc V 43 v <br /> sample Location/Description Date Time A o „ Q 0. } <br /> Mum r Sampled Sampled <br /> M Z N d r V <br /> -7 <br /> k <br /> MISC. notes. Relinquished by: Date T i A Z. Rpcel,vad by. Da e. Tlae <br /> cN <br /> Rush results due by. <br /> Final saaple disposition. <br /> Lab disposal. Return to Client <br /> Neth of d1sp Date of ret <br /> y.r zir i+ll„+• l •lo., q..+y Olhn•S I l,h+n lIwy Ficld 01 lice <br /> i r• ,I,p.,, till , Vo-tL'i Cnl+luw. <br /> 11% IF t2wil IM y113 <br /> 'l I i Y"!J+l 1+u 1,11 Wo" (2W)736 b273 <br />