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_ ` CHAIN OF CUSTODY <br />ENVIRONMENTALAGRICULTUML <br />www. fgl inc. com AND ANALYSIS REQUEST DOCUMENT <br />Client: Don Chesnev <br />Office 6 Laboratory <br />La <br />be <br />Office 3 Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />563 E. Undo Avenue <br />3442 Empresa Drive, Suite D <br />TEST <br />DESCRIPTION <br />TEL: (209)942-0182 <br />Chioo, CA 95926 <br />TEL: (530)343-5818 <br />San Luis Obispo, CA 93401 <br />TEL: (805)783-2940 <br />AND <br />ANALYSES <br />FAX: (209)942-0423 <br />FAX: (530)343-3807 <br />REQUESTED <br />TEL: (559)7349473 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 1573 <br />CA ELAP Certification No. 1563 <br />CA ELAP Certification No. 2670 <br />CA ELAP Certification No. 2775 <br />CA ELAP Certification No. 2810 <br />Customer Number: 3014658 <br />Address: P.O. Box 3794 <br />Turlock, CA 95381 <br />Phone: (209)402-1652 Fax: <br />m <br />Finan Address: ddchesnev .charter.net <br />Contact Person: Don Chesney p <br />Project Name: 53?le � ' I�q / t� <br />Purchase Order Number: 9 "' <br />o <br />9 c:O <br />J <br />1 <br />(3 <br />;t' <br />? <br />Quote Number: <br />to <br />U <br />m <br />av <br />a <br />O <br />F <br />m <br />Z� <br />)) <br />„ <br />Rush Analysis: 11 5 Day 0 4 Day ❑ 3 Day 2 Day ❑ 24 hoar <br />Rush pre -approval by lab (initals): <br />A <br />g <br />a <br />z <br />c <br />y to <br />Electronic Data Transfer: No [:]State [D(.7ient Other <br />6 <br />o <br />� <br />� <br />'} <br />� � <br />4 <br />a <br />U <br />� <br />2! <br />^ <br />} <br />= <br />t�J <br />Sampler(s): <br />Sampling Fee: Pickup Fee:p <br />o <br />Z <br />>L <br />— <br />,� <br />70 <br />Compositor Setup Date: Time: <br />rsamf�LocationDescrrption <br />Date Tuneur <br />Sampled Sampled <br />6 <br />JID, <br />7 <br />I <br />I—FI—I—f <br />_1 <br />x <br />F_F__1—I-1—I <br />F <br />I—II— i—I—I—I <br />F_F_ (—f� <br />1E FF F <br />F_ _TF F F_ <br />emarks Uv <br />�v I�lo <br />�t <br />Reim u , Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br />"r%���, i�•� -� R �. <br />%r <br />D_L' � <br />c� Zola f7� <br />Rece' ed By: Date: Time: <br />Received By: Date: Time: <br />Received By: <br />v <br />. Mgo <br />7 R 2o2d i l Ali <br />A�5' <br />Date: Ti e: <br />' <br />(� <br />- <br />Corporate Offices & Laboratory7 / _ <br />Office 6 Laboratory <br />Office 3 Laboratory <br />Office R Laboratory <br />Office 3 Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />563 E. Undo Avenue <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />TEL: (805)392-2000 <br />TEL: (209)942-0182 <br />Chioo, CA 95926 <br />TEL: (530)343-5818 <br />San Luis Obispo, CA 93401 <br />TEL: (805)783-2940 <br />Visalia, CA 93291 <br />Env FAX: (805)525-4172 1 Ag FAX: (805)392-2063 <br />FAX: (209)942-0423 <br />FAX: (530)343-3807 <br />FAX: (805)783-2912 <br />TEL: (559)7349473 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 1573 <br />CA ELAP Certification No. 1563 <br />CA ELAP Certification No. 2670 <br />CA ELAP Certification No. 2775 <br />CA ELAP Certification No. 2810 <br />