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= , CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL www ..fgiinc. a AND ANALYSIS REQUEST DOCUMENT <br /> Analytical Chemists <br /> Client: Metal Finishing Solutions, Inc. Lab Number`: / _ TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3018181 9 (40 '-1 `� /qot Al <br /> .address: Attn . Corev Dehl <br /> 1325 EI Pinal Drive <br /> Stockton , CA. 95205 m <br /> Phone: (925)872- 1263 Fax: m <br /> Email Address : CoreVClnrnfnish , corn 3: <br /> Contact Person: Corev Dehl a J <br /> G <br /> Project Name: Water Quality Analysis 8 <br /> Purchase Order Number: O <br /> o � m o am <br /> 0 <br /> Quote Number: <br /> U `m O rj � V�? <br /> Rush Analysis : 11 5 Day ❑ 4 Day ❑ 3 Day 2 Day ❑ 24 hour 'TAL 3: © m 2 C '94 <br /> CL <br /> an <br /> Rush pre-approval by lab (initals) : Q a Z e _ r N C�J J <br /> E <br /> m o <br /> Q- ca <br /> j U) <br /> Electronic Data Transfer: ❑ No ❑ State 0Client Other: 5 E EE+ co <br /> _ ai <br /> M F- <br /> v cfi = c S a a v <br /> Sampler(s) : C 4wc m F O F 'U a� 6 <br /> cc 0 <br /> E C — W C 4J m r C C N u r 7 <br /> �l J ° z Its v� <br /> rn U m '' m �� a a <br /> Sam lin Fee: <br /> Pickup Fee: o U m m n m '- —' g a a aLL <br /> P S P Ye _ m `a4 N o N _ rn <br /> m G m ry� al tic c1J m ° S Z c <br /> Compositor Setup Date: Time: E y _ F= to �: o _ m <br /> Sam Location Description Date Time m T ° 7' m V w " `n `� m d � E <br /> P P .e Z r C. °.�. e� m G V m O iL ii iL in <br /> Num rSampled Sampled <br /> 1 Tank 3 Q` �� IG 4 G, P NP �F—F—F—��[I7F—F—F—� 777�77 <br /> �� Tank C ObrFG 4 GIP NP ��FF ������F �7�77777 <br /> 3 Tank 9 4 GIP NP �F ���FFF��F��F <br /> Remarksto I <br /> Relinquishe Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> l ec Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices & Laboratory 6ffice & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo Avenue 3442 Empresa Drive, Suite D 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)942-0182 TEL: (530)343-5818 TEL: (805)783-2940 TEL: (559)734-9473 <br /> Env FAX: (805)525-4172 / Ag FAX: (805)392-2063 FAX: (209)942-0423 FAX: (530)343-3807 FAX: (805)783-2912 FAX: (559)734-8435 <br /> CA ELAP Certification No. 1573 CA ELAP Certification No. 1563 CA ELAP Certification No. 2670 CA ELAP Certification No. 2775 CA ELAP Certification No. 2810 <br /> ry a <br /> M <br /> �- rk <br />