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JPN-0-0-1990 1-1 -17 FPOM TO Pr LLA P 18 <br /> " FGL ENVIRONMENTAL <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> DATE: ., l&1►2 8j <br /> CLIENT: `I— <br /> ADDRESS: '� 9 <br /> a' PHONE NUMBER: � <br /> PROJECT NAME: C.pn� e..s a-vim <br /> PROJECT MANAGER: <br /> SAMPLERS: <br /> Sample Location Date Time Number of Tests Date <br /> Number Description Sampled Sampled Containers Re uired Needed b <br /> *Z2410 — C1 S B 2 — 40 PM 3 w444. <br /> 1� L <br /> 40 1Z IM R <br /> u ► <br /> 554 — 35 1Z.111 15PM L« <br /> t et t� <br /> S54 - 40 tz tt 184 PM <br /> S 6 5 — 35 Izti it I$q ?tA 1 •� <br /> w-6 <br /> !z 13 I425� <br /> e inquls y: ece ve ate me <br /> e nqu s e y: ece v y: Date me <br /> rte, <br /> Relinquished-BY: ece ve y: vote Time <br /> MAW OFFICE- W3 CORPORATION 53MMi'- PO.90X 2n MNC R 0MCB- 2=5UC=ACK RDAD <br /> &LAWRATMY SANTA PAULA,CAUPORNIA 9=6= 6 LABORATORY SroCXIVN,CALIADIZiVIA 9M <br /> IBS 92S 382 -(8�689•Gtr30 (299}912-0181 <br /> 6� LAY Iry rr.... �►v rvwnam r.� <br />