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_ CHAIN OF CUSTODY <br /> ENVIR• www.fglinc.com AND ANALYSIS REQUESTDOCUMENT <br /> Analytical Chemists ar <br /> cram: Patti Lynn Drake Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3017297 <br /> Address: 4642 Mosher Dr. <br /> Stockton, CA 95212 <br /> Phone: (209)751-9157 Fax: 12 <br /> 12 3 <br /> Email Address: pdrake@deltacollege.edu <br /> Contact Person: Patti Lynn Drake v <br /> Project Name: Buffalo Baking Co. d�c <br /> Purchase Order Number: <br /> `m a <br /> Quote Number: L7 3 b LL !_,ffi <br /> U 3y a O $tn <br /> Rush Matyss: E] 5 Day E]4 Day[—]3 Day 2 Day E]24 hour <br /> Rush pre-approval by tab(initals): <br /> Electronic Data Transfer: No State Client Other: �+ A K a <br /> o <br /> I � S m <br /> O <br /> Sampler(s): <br /> 0 <br /> c gE v € g $ 2 <br /> E <br /> E Z S y m <br /> r0 <br /> N V <br /> Sampling Fee: Pickup Fee: <br /> 5 yYQ3 <br /> Compositor Setup Dale: Time: <br /> Samp Location Description DateTone _ E <br /> Num Si led Sampled o <br /> 1 Well ')l i.�Ih (.a• , G DW Sm 0 1 1 1 <br /> FF <br /> -F F_ I ---- --- 7 <br /> ;E P <br /> �uyhed F=777- <br /> Remarks Re)irr'qyh¢d Date: Time: RetinquiTime: Rchnqus Date: Time: <br /> y/. - �lf flit; ted <br /> Rec iv /te: Tine: Race Tune: ceived By Datc: Time: <br /> 14 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Offiea&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue 3442 Empresa Dme,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 TEL (209)942-0182 TEL:(530)343-5818 TEL (805)783-2940 TEL(559)7349473 <br /> Env FAX,(805)525-4172 1 All FAX,(805)392-2063 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.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />