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CHAIN OF CUSTODY <br /> Annual www.fgUnc.com <br /> imam Laboratory Copy (1 of 3) <br /> 34933:04/0712021TMr DIESCRIPPION - See Reverse aide for .sumer,Pmservnive and lin,inromadon <br /> Cliem: Ann.GnerBer <br /> Address: 18081 Paradox Ave _ <br /> Tracy,CA 95301 �1 <br /> Pinnic (209)629-2851 Fax: ; �p <br /> Coeact Person: Anna Grander m 3r y ^T <br /> Project Name: 18481 Paradise Ave <br /> Pumhase Order Numbcr: t2 mm 0 <br /> Quom Number. U W 3 m <br /> SamPler(a) E u I S <br /> Li Q Y N Sy O <br /> yy Z LL <br /> $amPlln Fee: Pickup Fee: °aP Y disF 0 O <br /> Compositor Setup Dam:_/_/_ Time:_/_ g' Z' 0 w $ @.1 �, E <br /> q W p A � <br /> Iab Number. SCK Z�37 3-IT267 V <br /> $o `o s F a Y €C: _ 5 <br /> Num Locadon Deasripdon S Doll Sam M 8 E $ = L& <br /> nb P h t8S u°— 300° A <br /> 1 18681 Paradise Ave 2 1 G DW 1 1 X <br /> Remarks: Nd <br /> Time: Relwqu" Dere: T®e: Belwquttlmd Date: T"mm: <br /> uTime: Receiv B5- Dam: Time: R By: Dam: Tilnc: <br /> 21132D <br /> Corona ORloae 8 Laboratory Office&Laborstery Office&LaboraW OIBen 8 Laboratery Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 3442 Finpreaa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stacidon,CA 95215 Chlor,CA 95928 San Luis Obispo,CA93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone;(559)7349473 <br /> Fnv Fax:(805)5254172 1Ag Fax:(805)392-2063 Far.(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax(559)734.8435 <br />