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FGLEN171RON-NIENTAL <br /> • ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> DATE: <br /> CLIENT. <br />' ADDRESS 1-r!�] l - 1. }��L,-•ti ��,vt iC c� a c c��. r� */"� �'�1 <br /> PHONE NUMBER �IG) L/5 Z - z1-7 <br /> PROJECT NAME <br /> '250 3Z ` 3 <br /> PROJECT MANAGER �",e <br /> SAMPLERS /GG�� ICY 7%(e., <br /> I <br /> Sample Location Date Time Number of Tests Date <br /> Number Description Sampled Sampled Containers Required Needed by <br /> l Ft ro 1 Ca A{vr <br /> Gv-SI-M 3 z� ! 5 v - T�./ C, ,-41 <br /> C,1 51-Mw 3 Z12- 1 r3s3 i� <br /> i <br /> Rec ived B Date~ Time <br /> Relinquished By Y <br /> 1 <br /> Relinquished By Received By Date Time <br /> Relinquished By Received By Date Time <br /> 1 <br /> MAIN OFFICE— 853 CORPORATION STREET-- PO BOX 272 $RANCH OFI;ICE— 2500 STAGECOACH ROAD <br /> &LABORATORY SANTA PAULA,CALIFORNIA 9306G- 72 &LABORATORY sTOCKTON CALIFORNLA 95205 <br /> n..c. C' C <br />