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FGL ENVIRORrNIENTAL <br /> ANALYTICAL CHEl1IISTE <br /> CHAIN OF CUSTODY <br /> DATE: 1-;112069 ^ <br /> — CLIENT. <br /> ADDRESS: �I_�.c.o�S cs. } Com q3.291 <br /> - <br /> U <br /> µ PFONE NUMBER <br /> PROJECT NAME. <br /> PROJECT MANAGER- <br /> SAMPLERS <br /> Sample Location Date Time Number of Tests Date <br /> Number W Description Sampled Sampled Containers Required Needed b <br /> `! S6 z - go )Z-103911A 1 MT*0,-rPK <br /> �t -- 10 SB3 - *0 L <br /> << — 1 l S B 4 — 3S Prh 1 <br /> 17- 5e)4 - 40 tj <br /> t?) S BE — 30 ►� ,. <br /> 1q- s !3 S -- 35 <br /> i <br /> RTinquishe`tC_W. I Received ByVat'�e Ti—me— <br /> Relinquished <br /> ee inquis a y• Received By. Date Time <br /> Relinquished y• Received By. Date Time <br /> MAINOFFICE- 853C0RPCIRA'R0NSRtEET- PO 80X272 BRANCHOFFICE- MSPACECOACHROAO <br /> &LABORATORY SANTA PAULA,GLRVp. IA 93060.= k LABORATORY MDCrMN,CALMRNFA 95208 <br /> _ (8057 525 3824-(805)639-0410 aM%2-0181 <br /> FAX (805)525-4172 FAX (209)9424M <br />