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Fgl Chain of Custody http://192.168.2.2/fgl/PageSTK/SectionCustomer/login/chain/chain.php?Customer1D=3008... <br /> ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: City of Lathrop <br /> Customer Number: 3008507 m <br /> Address: Public Works Dept. <br /> 390 Towne Centre Drive <br /> Lathrop,CA 95330 <br /> Phone: (209)941-7200 X7434 Fax: (209)941-7449 2 <br /> Contact Person: Yescnia Linnell Q 00 <br /> Project Name: Iai� 1 1 V1 G .— 1 s S �(Va —, 0 a �m <br /> t..ys � <br /> Purchase Order Number. <br /> Quote Number: m 1 gop 0 € O Z <br /> Sampler(s): / yffi y N <br /> Z gI rn o <br /> Sampling Fee: Pickup Fee: <br /> Compositor Sewp Dale: Time: <br /> Samp Location Description Date Time Z y r7"f v <br /> Num Sampled Sampled <br /> 5iva Lam^= 1 c1• d-E <br /> ��1=cx> I x �� <br /> Iola-IL I L✓ I�� I I I ell <br /> FF-F- <br /> F-F- F -T- <br /> GI <br /> —F—[— —FPI <br /> I NF ������� —� <br /> E47- <br /> Remarks p � = Rclinq ishcd Date: "1"imef:( �1) mquiste Dat : Time: �tgt'sl Date: Time: <br /> /t� <br /> Date•' Time: Recci d I3y: Date: Timc: c ved ate: Time: <br /> i� yc1 �!v\ <br /> 1 of 1 v 11/27/2012 15:37 <br />