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/`" CHAIN OF CUSTODY <br /> t . ; t Special Subcontract to °i ' www.fgline.com <br /> Analytical Chemists laboratories, Inc. Custj4r Copy (2 of 3) <br /> r-- <br /> 35731:08/0.E/2021 TEST DESCRIPTION - See Reverse side for Container.I$esefvative and Sampling information <br /> Client: Fruit Growers Laboratory, Inc. 8: <br /> 3' E <br /> AIress: FGL Environmental,Inc. <br /> 853 Corporation St. 3 i <br /> Santa Paula.CA 93060-3005 — z <br /> J N <br /> Phone: Fax: 3 " <br /> c. <br /> Contact Person: a h a <br /> Project Name: -(3-17919) 9 ? S <br /> Purchase Order Number: <br /> 3 v, <br /> 21 <br /> Quote Number: w ¢ 03T <br /> z a <br /> Sampler(s) r y y m <br /> d <br /> )'urk �1 �kY ! o w z o o <br /> 0 * v h x <br /> Sampling Fee: Pickup Fee: c .o <br /> Compositor Semp Date:_I_/_ Time:_/_ E °' Z O w <br /> 0 E $ A cF <br /> Lab Number: ° <br /> m„ m <br /> o ° v � CD Q(7 <br /> Tamp Location Description DateTime �', c '� '� E <br /> Num Sampled Sampled m O m w <br /> G DW 3 <br /> Remarks: Rhed D e: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time Received By: Date: Time: Received By: Date: Time: <br /> Coroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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)525-0172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783.2912 Fax:(559)7348435 <br />