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O - www. linc.com <br /> CHAIN OF CUSTODY <br /> www.fglinc.com ANALYSIS REQUEST DOCUMENT <br /> Client: Galloping Hills Winery Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3017803 <br /> Address: P.O. Box 687 <br /> Clements,CA 95227 <br /> Phone: (209)483-4594 Fax: _ <br /> Snail Address: <br /> Contact Person: Mary Ann Simoneau <br /> Project Name: 19330 Stampede Rd,Clements CA n € v o <br /> Purchase Order Number: <br /> Quote Number: _ �► <br /> Rush Analysis. ❑ 5 Day❑4 Day 3 Day 2 Day 24 hour C <br /> Rush pre-approval by lab(inbis): <br /> Q <br /> Electronic Data Transfer: 0 No❑State 11CGent Other: 3 <br /> Le <br /> +co <br /> ,r <br /> Sampler(s): 0 o+. <br /> �► z <br /> 1 cv) l~ a <br /> &{ v <br /> Sampling Fee. Pickup Fee: $ a a ..' F <br /> Compositor Setup Date: Time: AllF La 7 ZI Q <br /> po .. a co a <br /> Samp Location Description Date Time g t .G �. a. z <br /> co <br /> Num Sampled Sampled <br /> 0 Travel Blank Cd 71"o 0206 G LBW 2 x <br /> 1 Well �t-}� G DW 2 1 <br /> Remarks Relinquished Date: Time: ' qu hed � lt;6 Time: linquis Date: Time: <br /> EPA 504.1 (DBCP)-87.00 ' l \-s55 / /�NO3N-29.00 / <br /> Received e: Time: Rece'ed By: Date I Time: e' By: <br /> /35.5 7 <br /> W /7 <br /> Corporate Offices&Laboratory Office&Laboratory Offico&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue 3442 Empresa Drive.Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton.CA 95215 Chico.CA 95926 San Luis Obispo,CA 93401 Visalia.CA 93291 <br /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)525-4172/Ag FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)7348435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />