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CHA17V OF CUSTODY <br /> www.fglinc.com AAD ANALYSISREQUESTDOcuMENT <br /> Client: Republic Services /Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3008692 <br /> Andras: Ruben Ramirez <br /> 9999 S.Austin Rd <br /> Manteca,CA 95336 <br /> Phone. (209)982-4298 Fax: (209)982-1009 <br /> Email Address: rramirez5@republicservices.com <br /> Contact Pelson: �Un n RamirezIto �i <br /> Project Name: lJs'�� G <br /> Purchase Order Number 5141 193 a C z <br /> Quote Number. . <br /> Rush Analysis: ®5 Day®4 Day®3 Day®2 Day®24 hour '� E <br /> Rush pre-approval by lab(mdals): Q <br /> Electronic Data Transfer: ®No®State ®Clieat Other: <br /> sampler(s): 0 <br /> �aejq brVsrG <br /> Sampling Fa: Pickup Fee: $ � <br /> Compositor Setup Dote Time: rs h <br /> Sump Locatiot DescriptionDate TOM We g11 <br /> Nunn Sampled Sampled <br /> {iY - hL <br /> U &� Pr <br /> e.5 a At, /� / 1 <br /> ,1,/J / (T G Remarks <br /> Retmquished Dote: Tone: ished �atte: Time: <br /> Re' ished Dote: Time. <br /> (Jj�� N oj7TJ 1p�J16 /706 <br /> Epciag4jk; Date: Time: Recc&By: Tuna. a Etr. Mate: Time: <br /> Corporate Offices&Laboratory Office 3 Laboratory Office&Laboratory Office 3 Laboratory &Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 583 E.Lindo Avenue 3442 Empresa Drive,Suite D 9415 .Goshen Avenue <br /> Santa Paula,CA 93080 Stockton,CA 95215 Chi,CA 95928 San Luis Obispo,CA 93401 Visaila.CA 93291 <br /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)7349473 <br /> Env FAX:(805)525-4172/Ag FAX:(805)392-2083 FAX:(209)942-0423 FAX:(530)343-3807. FAX:(805)783.2912 FAX (559)734 8435 <br /> CA ELA�rNficatbn No.1573 CA ELAP Certification No.1583 CA WrIffication No.2870 CA ELAP Certification No.2775 CA ELAP Certincation No.2810 <br /> 0 <br />