Laserfiche WebLink
_ ` CHAIN OF CUSTODY <br /> ENVIRONMENTALAGRICULTUML <br /> www.fgl inc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client: Don Chesnev La be TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3014658 <br /> Address: P.O. Box 3794 <br /> Turlock, CA 95381 <br /> m <br /> Phone: (209)402-1652 Fax: <br /> Finan Address: ddchesnev .charter.net <br /> Contact Person: Don Chesney p J <br /> Project Name: 53?le�' I�q/ t� 9O <br /> c: K <br /> Purchase Order Number: 9 "' 0 £ G c3 <br /> Quote Number: (a ;t' <br /> av F }} <br /> Rush Analysis: 11 5 Day 0 4 Day❑3 Day 2 Day❑24 hour U a „ <br /> Z� <br /> Rush pre-approval by lab(initals): g a z g a —i O Z <br /> y to <br /> Electronic Data Transfer: 0 No❑State ElChent Other: t j m 1,_ <br /> '} U } <br /> Sampler(s): + ; \ I rn o _ <br /> 4 <br /> c G Z <br /> Sampling Fee: Pickup Fee: 70 <br /> Compositor Setup Date: Time: E o _ o y <br /> _ rn F r m <br /> rsamf�Locafion Description Date Tune ZurSampled Sampled <br /> _F_I F_F_F7_17k [F7_F_F__1 F-1 I FFF <br /> _� - FF nF_F_ -� <br /> ernarks {� UV Reim u , Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> � t , I -llql&a) /w <br /> r <br /> �V_ L�: v � Race' ed By: Date: Time: Received By: Date: Time: Received By: Date: T' e: <br /> (��- � �-°� •� 2029 7 R 2o2d i l� �i(�5' � (� - �� <br /> Corporate Offices&Laboratory7/_ Office 6 Laboratory Office 3 Laboratory Office R Laboratory Office 3 Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chioo,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)525-4172 1 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 />