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--= - CHAIN OF CUSTODY <br /> www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client: Canary Renewables Corp Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3016416 <br /> Address: Attn:Chris Stowe <br /> 809 C Snedeker Ave <br /> Stockton, CA 95203 <br /> m <br /> Phone: (760)942-9306 x107 Fax: (760)943-6696 <br /> Finad Address: cstowe@canarybiofuels.com <br /> Contact Person: Chris Stowe c <br /> Project Name: .i <br /> Purchase Order Number: a O <br /> U <br /> La o T <br /> Quote Number: > «C] N x yL <br /> U V �' l m� $ O tr �� <br /> Rush Analysis: 1 5 Day❑4 Day❑3 Day o 2 Day F 24 hour @ w m iv <br /> Oa L c qa a n tD <br /> Rush pre approval by lab{initals): rp S anQ a a <br /> Electronic Data Transfer: ❑No StateClient Other: U $ N 2 <br /> Sampler(s): <br /> o e cn >~ qj I c <br /> Sampling Fee: Pickup Fee: ii o m m O g nr ur y <br /> 117 `m m r1 % W & S <br /> Compositor Setup Date: Time: <br /> Samp Location Description Date Time i Z r 4 vi a m <br /> Num Sampled Sampled <br /> moo G7F <br /> :F-F-r I F-F-F-F-F- <br /> F-F-F-F-F- <br /> I I I <br /> FFF- i <br /> Remarks Relinquic] Date: Time: 17d Date: Time: Relinquished Date, Time: <br /> k3 .2 /70Z) <br /> ceived By: Dates: 1 Time: Received By: -Date: Thiimye: Received By: Date: Time <br /> 4.;2--2 <br /> Corporate Offices&Laboratory Offioe o Office&Laboratory Office&Laboratory Office&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 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> TEL:(805)392-2000 TFL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)525-41721 Ag FAX:(605)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 />