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www.fglinc.com <br />ENVIRONMENTAL Ouarterly <br />CHAIN OF CUSTODY <br />Laboratory Copy (1 of 3) <br />33040:11/0712011 TEST DESCRIPTION - See Reverse side for Container, Preservative anti Sampling information <br />Ln <br />Ln <br />Client: SKS Enterprises <br />I <br />Address: P O Bax 1300 <br />e <br />Ln <br />rH <br />Lockefard, CA. 95237 <br />'F <br />L14 <br />2 <br />ca <br />M <br />Phone: (209)159-3057 Fax: (209)759-31543CIO <br />d; <br />Remarks: <br />Relinquished Date: Time: <br />.®o <br />u <br />By: Date- Time: <br />1149 /00® <br />I <br />00 <br />N <br />Canract Person: <br />; <br />(z1 <br />a <br />H <br />Project Name: MrjiShed CoMpWt <br />�,/ ry, <br />d <br />V <br />N <br />Purchase Order Number: <br />N <br />�, <br />Quote Number: <br />v <br />x <br />E <br />s� <br />Ln <br />Sampling Fee: Pickup Fee: <br />a <br />o <br />10 <br />U <br />CM <br />Compositor Setup Date: _/_/_ Time: 1� <br />�_ <br />E <br />v <br />a <br />Z <br />Jig <br />,a <br />L n <br />ri <br />Lab Number: STK 3-13071 <br />C� <br />0 <br />E <br />.. <br />C to <br />�. <br />F <br />® <br />N <br />5 <br />D <br />_� <br />_ <br />Num <br />Location Description Sampled <br />Sampled� <br />m <br />q� O <br />U ago <br />opo <br />U <br />1 <br />Finished Compact ' <br />C <br />S <br />1 <br />1 <br />Ln <br />W <br />Ln <br />Ln <br />Ln <br />I <br />e <br />O <br />L14 <br />ca <br />M <br />d; <br />Remarks: <br />Relinquished Date: Time: <br />.®o <br />By: Date- Time: <br />1149 /00® <br />I <br />00 <br />Corporate Offices & Laboratory office & Laboratory Offcce & Laboratoro <br />853 Corporation Street 2500 Stagecoach Road 563 E. EindoAvenam <br />Santa Paula. CA 93060 Stockton, CA 95215 Chico, CA 95926 <br />TEL: 804-r392-1-000 TEL: 209/942-0182 TEL: 530J34?r5818 <br />iish®d l Date: Time: <br />f 11.4 � !7 <br />3d By: Date: Time: <br />/I/ <br />Jz,, '�'l AL / 7m' <br />Office & Latroratory <br />3442 Empresa Drive, Sul <br />San Luis Obispo, CA 93401 <br />TEL: 805178..'-2940 <br />m <br />Date: Time: <br />Date: Time: <br />Field Office <br />Visalia, California � <br />TEL: 56917349473 <br />Mobile: 559M7-2399 <br />