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• • 1 -—- •o www. .com <br /> CHAIN OF CUSTODY <br /> fglintAND ANALYSIS REQUEST DOCUMENT <br /> Client: Jake Desvoignes Lab Ntunber: '11ST DLSCRIPTION AND ANALYSES REQUESTED <br /> Customer Number. 3017968 7 7 <br /> Address: 5303 E.Woodbridge Rd <br /> Acamoo,CA 95220 <br /> phone: (805)705-3938 Fac: <br /> Email Address: iake.desv(ZD.gmail.com <br /> Contact person Jake Desvoignes c <br /> Project Name: 53 ,5' O O <br /> purchase Order Number: I t <br /> Quote Numlxr: to 7RC <br /> Rush Analysis: El S Day[]4 Day❑3 Day❑2 Day O 24 hour o 1 .7 a O <br /> T O <br /> Rush pre-approval by fab(initials): <br /> f N <br /> Electrons Data Transfer�. E No a State ❑Client Other <br /> Sampkr(s): <br /> s M, <br /> ') Sampling Fee: Pickup Fee: <br /> 16 <br /> _ idJl rF5 r v <br /> Compositor Setup Date:_ Time: i_ I <br /> Satnp Location Description Dalt Time <br /> Nun r0.VtL J2 iA„ Sampled Sampled I t� (/� <br /> -RI <br /> F-F-F- Fl- �r`�FF F-1 777 <br /> Fr- F-7- r-r^r�r-r-r- r� <br /> F . � AFF F 77777�F� <br /> Reemar� ` �7A G1.E�� VC R-linquished Date: Time: Rclurquished Date: Time: Rel' utshed Date: Tune: <br /> Received.By: Date: Tu(n�ef/� Received Dy Dat Tlime: Received By: Data Time: <br /> l O I I✓ ROD <br /> 1� X <br /> Corporate Offices a Laboratery Ofllee 6 Laboratory Ort1oe 6 Laboratory ofioe 6 Laboratory Ohtae&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue 3442 Empresa,Drive,Suite D 9415 W.Goshen Avenue <br /> Same Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luta Obispo,CA 93401 Visalia,CA 93291 <br /> TEL:(805,392-2000 TEL (209)942-0182 TEL:(530)343.5818 TEL:(805)7B3-2940 TEL:(559)734-9473 <br /> Env FAX:(805)525-4172IAg FAX:(806)392-2M3 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Cer96cabon NoA573 a CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />