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FRUIT GROWERS LABORATORY UnAlIY Ur L-voi Ulu <br /> ORIGINAL <br /> AND ANALYSIS REQUESTDOCUMENT <br /> CLIENT DETAILS sil i ON I REPOIrr INFORMATION SECTION III <br /> A <br /> Ulenc A/IEL O� <br /> � AaIG SamaaSooA(q�Ggp <br /> leA�r'(s)U�:NN <br /> 4.tuyv>UiCd, <br /> �60 <br /> Rush <br /> ;Analysis <br /> nalysis m S Day,`�v`r' JaF,1 <br /> + y7es <br /> SLDc,�'ra�yZ <br /> s <br /> J New Customer Customer Number:� -0 5-�' CI KDr Subject to surcharge <br /> address: � US? 0 #1 QA/QC report required: yes <br /> 4-0,OT Date of Sampling: Tissue Monitoring Required: yes <br /> Lab number: <br /> Phone: True: Mileage: <br /> FAX: Lab Loc: SP ❑ STIC` VI Qc <br /> °0❑ <br /> Project name: <br /> Contact person: DALCJ# SAMPLE INFORMATION ANALYSES REQUESTED <br /> Billing Information(if different from above) <br /> Name: <br /> Address: <br /> Phone: S <br /> FAX: y <br /> El <br /> Contact person: z <br /> vPurchase order/contract/FGL quote number: v C <br /> ln <br /> zi <br /> Z SAMPLEINFORMATIONLocationDescrption at <br /> Sample I Growth Sample $ y E rq u_ <br /> Planting Depth r <br /> Y-04AC)Ila <br /> . <br /> UIq <br /> VOrjF'� <br /> F, <br /> a <br /> Rdinquishedb end svWffid�'.ande..C� �� Relinquishedrim Nnme / .. &— DemReceived by. Prim NameDem Timc <br /> ✓, Dam Time / 2nRelinquished by: Pr m Namr. /Received by: im Name: Date Time <br /> OFFICE&LABORATORY 1/ 11 FIELD OFFICE <br /> CORPORATE OFFICE&LABORATORY 2500 Smgccaach Road V� S 1 \ J lJ Visalia,Ceb(umm <br /> PO.Box i]2I053 Corpormion Smeel �s�,) Slwkmn.CA95215 (/ �_ I ��/S, Tel:(559)734-9473 <br /> FAXf8805)659 W 5254j�121-02]3�f/�/-J�7/Lj n ,6. FAX!(20)9 0423 �•T�j ,L N,�I/J FA%(559)5734-8435 199 <br />