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CHAIN OF CUSTODY <br /> ENVIROwww.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Fte. Chesney Consulting Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> s,—N,aab- 3015419 <br /> "W: Post Office Box 3794 <br /> Turlock.CA 95381 s� <br /> Phone (209)668-1403 Faa (209)668-2598 <br /> F-0Aw , ddchesney@charter.net <br /> comatp— Don Chesney <br /> yr°FetNenr 9851 Hutchinson Road,Manteca p' oo a <br /> Pwchrtc order Number: <br /> Quote Number: O �' <br /> Rush Analyse: 5 Dvy❑a Day❑3 Day❑2 Day❑24 how U 0 E <br /> Rmb pre-approval by bb(muah): <br /> F.00nic Dau Transfm: E]Na❑Su,e OCh— Otho: r7 Z <br /> a � <br /> sampk(:): a. ..� <br /> Smnp�g Fee Pump F.: <br /> _ 3 z <br /> C°mp°sbor Soup Dmc: Tcne: <br /> rRE <br /> Dmgxon Date <br /> Sampled Sampkd <br /> 04116/14 G 2 V TB X <br /> 04/16/14 G 4 P,V P DW X X X X <br /> Rcfmquuhcd D— Tvsc shed tc: Tmtc: Rdutquehed Dmc Tunc: <br /> ORT TO DON. (1 I OLlli /`JOe) 4nl H �I f5- <br /> By:W�' •c: Tim. Re ed By :/ Tune: Rec W BY �I I D., T 1— <br /> a L.b-m y OPF—A LaEw.6 y O"t-A La—d-y OMe+a Lb—tea, CNB- <br /> 25 <br /> 411er.a LALor4Swy <br /> R37 Cwporr>eort 8troel 2500 Reed 563 E LJAWAvao+e 7442 Ertpreee DO-.9u0a D 9415 W.G.3han Avenue <br /> So—Paha.CA= Sttsef .CA 95216 CN-,GA 05926 Sen LLd3 OLlepo,CA 93401 Vkad..CA 91291 <br /> qtr FA7C )��m rAG FNC(MS)39212063TEL:(209)042-0192 TEL(530)143.5618 TE1 /0:(805)783.29TEL'(559(734.0{73 <br /> AX:(209)942-0423 FAX:(530),113.3W7FAX.(805)78}2912 FA (SS1n754.9435 <br /> Com,ElAP Caee aern No.16T] CA FLAP Catm=eon Wo.1603 CA FLAP Ca beat s Ne.2670 CA ElAP C-afta0en Ne.2775 L:CA ELAP C.UflCWws N.2010 <br />