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CHAW OF CUSTODY <br /> IN www.fglinc.com AND ANALYSIS REQU .ST DOCUMENT <br /> Client Forward Inc. Lao N/urnb/er' TEST DESCRIPTION AND ANALYSES REQUESTED <br /> customer Number: 3008692 <br /> Address: Ruben Ramirez <br /> 9999 S.Austin Rd <br /> Manteca,CA 95336 <br /> Phone: (209)982-4298 Fax: (209)982-1009 /J <br /> Finail Address: rramirez5@republicservices.com <br /> contact Person: Aben Ramirez /, I <br /> Project Name: �0 dffi C <br /> Purchase Order Number: <br /> Quote Number: �* <br /> Rush Analysis: ®S Day®4 Jay®3 Day®2 Day®24 hour <br /> Rush pre-approval by lab(uti tals): <br /> Electronic Data Transfer: ®No®State®Client Oilcer: _ r <br /> Samp"s): L O <br /> Sampling Fee: Pickup Fee: $ $ <br /> Compositor Setup Date: Time: <br /> Same Location Description Date Tmee G L rb df r <br /> Num Sampled Sampled <br /> emark� <br /> Re' wished Date: Time: q ed Date: Time: fished Ditto: Time: <br /> Receiv By: e: Time: ed te; Time; By Date: Time: <br /> i9 i� /sed t'r9/i l <br /> Corporate 001660 b Laboratory OHIoo a Laboratory Ottlee&Laboratory Office ce&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue 3442 Empresa Drive,SZD 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)042-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)6254172 1 Ag FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(569)734-8435 <br /> CA ELAP Certification No.1573 CA ELAP Cen icadon No.1563 CA ELAP CerOflcation No.2670 CA ELAP CerBflcation No.2775 CA ELAP Certification No.2810 <br /> is 0 <br />