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CtWf1 of CUSTODY <br /> Annual www,• <br /> fgltnc.com <br /> Laboratory Copy (i of 2) <br /> MIND 34933:07I0712025 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client Anna Cwerder <br /> Address: 18481 Paradise Ave <br /> Tracy,CA 95304 3 <br /> v � <br /> N � <br /> Phone: (209)629-2951 Fax: 3 <br /> d <br /> Contact Person: Anna Gwerder °C <br /> Project Name: IM1 Paradise Ave <br /> Lu 3 <br /> 2 <br /> Purchase Order Number: ° <br /> aw Cn <br /> Quote Number: 3 t <br /> W d 4n <br /> Sampler(s) CIAC, 2, W a v ] <br /> U ar rq d <br /> aC6 T " tL <br /> 0 <br /> Sampling Fee: Pickup Fee: a F= <br /> c m o R Z <br /> Compositor Setup Date:_I_1_ Time:^I_ C 4 Q a z E <br /> Go <br /> Lab Number: K 2539705 3 t72fi3 0 a <br /> S' S <br /> v F 04` <br /> Sam CL <br /> Date Time rJ° „ y p U <br /> Num Location Description Sampled Sampled u C. c a us °�� m ° °° <br /> P P F a at M 0 U 3 uo w, <br /> 1 18481 Paradise Ave 7 / 25 1�3Q G DW l I X <br /> Remarks: Re€inqukhcd Date: Time: RelinqLjishcd Date: Ti e: Relinquished Date: Time: <br /> -7/-7/25 0 °� �7� S s r3�s <br /> Rect:-,ed v: Date: Time: Recem!J Rv: Date: Tim Re dived By: Date: Time: <br /> pZ ��15 <br /> 140 <br /> 10C zr 3-LS <br /> Carnorate Offices&_Laboratont Office&I.AbOratory Offlre&Labotatorv9MG2 Is Labgra= Office ri<Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9411 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 />