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W- CHAIN OF CUSTODY <br /> www.fgl inc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client Mar Val Stables Lab Nlanber: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Numbe, 3016273 I`9 365 5 <br /> Address: PO Bax 695 <br /> Woodbridge.CA 95258 <br /> Phone: (209)368-7731 Fee: (209)368-2858 <br /> Email Address: simon(M.marvalstables.Com <br /> Contact Penn: Simon Tosh-Robb n <br /> Project Name: p <br /> Purchase Order Number: ge <br /> Quote Number: <br /> Rush Analyse: E] 5 Day F]4 Day E]3 Day❑2 Day E] 24 hour 0 E <br /> eo Z_ <br /> Rush pre-approval by lab(hotels): F- <br /> FJecbonk Date,Trwfcr: No Fswe Clem Other: s7 <br /> B p O ♦ m <br /> Sampler(s): � J <br /> Sampling fee: Pickup Fee: j QO LL <br /> Com D Date:shor Smu Tine: eu <br /> Samp Location Description Date Torte $ m <br /> Nunn Sampled Sampled m L ?. mo .z <br /> 0 Travel Blank /0//OCI 2 G TB 2 X <br /> 1 Well Q G 3 G,P P DW SRC 2Resmarks 1 <br /> Relinquished .-Date: Time: Relinquished me' Tine: R<' <br /> q Date: Time: <br /> Receiv Date: Time Received By: Dae: The: e' te: Time <br /> ift ILlb19 11111 1,, lot, <br /> Corporate Offices 6 Laboratory Office 6 Laboratory Office&Laboratory Office&Laboratory O ce Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 583 E.LirWOAvenue 3442 Empresa Drive,Suite D 9415 .Cwattan Avenue <br /> Senor Paula,CA 9308D Stockton,CA 95215 Chico,CA 95926 San Luis Obis CA 93401 <br /> Po, Visalia,CA9)93291 <br /> TEL:AX:(892.2000 TEL (209)942-0182 TEL:(530)3435816 TEL:(805)78}2940 TEL'(559)730.8473 <br /> E.CA FAX:(805)5 anon N . 6 FA%:(605)392-2063 FAX:(209)942-0423 CA <br /> (530)343-3607 FAX:(805)783-2912 FAX(AP Ce 4$435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Cedi6catbn No.2670 CA ELAP Cesifx:atbn No.2775 CA ELAP Ceriificalbn No.2810 <br />