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CHAIN OF CUSTODY <br /> • www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client: Metal Finishinq Solutions, Inc. Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 30181813 g3 <br /> Address: Attn.Corev Dehl <br /> 1325 EI Pinal Drive <br /> Stockton. CA. 95205 m <br /> Phone: (925)872-1263 Eax t' m 03 <br /> a <br /> .. <br /> Email Address: corev mfinish.eom a <br /> Contact Person: Corev Dehl _ <br /> Project Nae: V Monitoring ¢ a o $ <br /> mVW <br /> Purchase Order Number: ; m Q <br /> Quote Number: 0c <br /> mV IF- K = n <br /> Rush Analysis: El 5 Day❑4 Day 3 Day❑2 Day❑24 hourIL <br /> $ C N <br /> p4 Q vi 'o <br /> Rush pre-approval by lab(mitals): a z $ N <br /> g� m <br /> Electronic Data Transfer: E]No 11 State EICHent Other: F z w <br /> Sampler(s): w <br /> r(s): n d O ra O 1 <br /> i a Z <br /> 10 0 <br /> Sampling Fee: ickup Fee: `o v m— O P O <br /> T _ r N <br /> Compositor Setup Date: Time: E <br /> Samp Location Description Date Time g Z p° j v Q 0 (� <br /> Num Sampled Sampled rJ LL 1 <br /> 1 Tank 8 , 'l,�' G 2 P NP WW 5 X X <br /> T- <br /> F- <br /> Remarks Relinquished Q Date: Time: Refn uished Date: Time: Re' uished Date: Time: <br /> R Date: Time: Rel ived By: I Dal: Time: ceiv D re: Timeif11��, <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linde Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luls Obispo,CA 93401 Visalia,CA 93291 <br /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(53D)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)525-4172/Ag FAX:(805)392-2063 FAX:(209)942-D423 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 SLAP Certification No-277-5— --CA ELAP Certification No.2810 <br />