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0 a 9 <br /> CHAIN OF CUSTODY <br /> www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client Republic Services Lab Number. TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number. 3008692 ,�J4 <br /> Address: Ruben Ramirez <br /> 9989 S.Austin Rd <br /> Manteca,CA 95336 <br /> Phone. (209)982-4298 Fax: (209)982-1009 <br /> Fina>7 Address: rramirez5@repubiicserviess.c;om <br /> contact Person: Ruben Ramirez <br /> Project Name.- <br /> Purchase <br /> ame:Purchase Order Number. <br /> Quote Number. CO <br /> Rush Analysis: ❑5 Day❑4 Day❑3 Day®2 Day❑24 Maur Q E <br /> Rush pre-approval by lab(mdals): tip-% <br /> Electronic Data Transfer No State Dent Other: <br /> Sampler(s): "► t:� <br /> ra <br /> Sampling Fee: Pickup For <br /> Compositor Setup Datc Time: ias <br /> Samp Location Description Date Tans <br /> Num Sanvbd Sampled <br /> s Zat-5 at o5 a C <br /> MP <br /> Re' 'hed Date: Time: wished / Date: Time: u' Data Time. <br /> Hy: Date: Time. Received Time: ed Da Time: <br /> %'w'6 �? 13)D <br /> Corporate Offices&Laboratory Office b Laboratory Office&Laboratory ONloo&Laboratory Office 6 Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.LindoAvenue 3442 Empresa Orale,SbO D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chi.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)7349473 <br /> Env FAX:(805)525-41721Ag FAX:(805)192-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX;{S58)734-8435 <br /> CA ELAP Certification No.1673 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />