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• www.fgZinc.cam CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Client: Metal Finishino Solutions.Inc. Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3018181 <br /> Address: Attn:Chad Yelm <br /> I-P-inal-Drive <br /> Stockton.CA. 95205 m <br /> Phone: (209)798-9328 Fax: m o p <br /> Final Address: cvelmanmfinish.com a <br /> Contact Person: Chad Yelm +. c eL a <br /> Project Name: Rinse Tank Monitoring a $ a o <br /> Purchase Order Number: <br /> Quote Number: <br /> Rush Analysis: [:]5 Day❑4 Day❑3 Day❑2 Day❑24 hour U m $ 0'6 <br /> n <br /> 2 ' Wi. 4 <br /> Rush pro-approval by lab(mitals): <br /> a d = Q <br /> Electronic Data Transfer: ❑No❑State[]Client Other: £ w = mo w <br /> Z3 M- <br /> Sampkr(s): m a �I 4 �Jvr _ a <br /> .01 <br /> zm ' ZO w <br /> N N u. <br /> Sampling Fee: r� Pickup Fee: Vloo 8 a $ gyp, pF v m , LL <br /> 2 e <br /> Compositor Setup Date: Time E F Xf U <br /> Samp Location Description Date Tune g Z a° � a Yi`' Q m <br /> Num Sampled Sampled U t° <br /> 1 1 1 1 —L' <br /> 1 Tank 9 '�( Q C1'!() G 2 P NP WW 5 X X X <br /> 44— <br /> Remarks quished Date: Time Relinqui gedd Date: Tone: Re[in y°.had ate: Time: <br /> lz �� �( � l ►Z 21 1'ldDL� I I L'w <br /> Received D e: Time, <br /> Receiv By Date Time 4RwevBy: Date: Time:1* ti Imo 6� r �-- 1�1* I�Iq <br /> Corporate Offices 6 Laboratory Office&Laboratory Office S Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linde Avenue 3442 Empresa Drive,Sufte D 9415 W.Goshen Avenue <br /> Santa Paula,CA 83060 Stockton,CA 95215 Chfco,CA 95926 San Luis Obispo,CA 83401 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)5253172/Ag FAX:(805)302-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)7348435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1663 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />