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CHMN OF CUSTODY <br /> • Special Subcontract to unomfgUnc.com <br /> d Babcock Laboratories, Inc. py ( <br /> Costo r Co 2 of 3) . <br /> t. <br /> 35731:08/02/2 1 TEST DESCRIPTION - See Reverse side for Container,Pre ative and Sampling information <br />.-'Clien i Frult Growers Laboratory,Inc. ! <br /> Add ss: FGL Environmental,Inc. r; <br /> 853 Corporation St. a �' <br /> Santa Paula,CA 93060-3005 <br /> Phonei Fax: 3 a <br /> Contact Person: a <br /> a _ W .. <br /> Project Name: (3-17919) a <br /> Purchase Order Number: <br /> Quote Number: t? ,Q a <br /> Sampler(s) w a <br /> Sampling Fee: Pickup Fee: °A a: <br /> Compositor Setup Date: / / Time: / 0 O <br /> Lab Number: oCn <br /> 0— <br /> 3amp Date Time J <br /> Location ation Descripti3n, SaInpled Sampled �, �°, M 0 <br /> G DW 3 <br /> Remarks: Relinqui h Dalt Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 5 a5 22 ��6D <br /> lReceiv By- Da Time: Received By:. Date: Time: Received By: Date: Time: <br /> L� 525 1 �, <br /> Corporate Offices&Laboratory_ Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />