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FGL ENVIRONMENT RAIN-OF CUSTODY <br /> 2500 STAGE ACH ROAD • STOCKTON, CA 215 • (209) 942-0181 • FAX (209) 942-0423 Lab Number <br /> I Client U5t Project Name `i7,, 1''e",J t✓ SAMPLE MATRIX CODES PRESERVAMES <br /> _ CONTAINER CODES B - Blank SL- Sludge A HCI <br /> Address 37 lj�DS' /� Project Number B - an DW - Drinlang Water SP - Spike B HNO3 <br /> 1 BT - Brass Tube GIN - Ground Wafer SW-Surtat a Wale C NaOH <br /> G -Glass L - Leachate W Waste D H <br /> Clay S jrJG�7`sY1 _ State L i�. Zp 7� ntact Person // •�d�ir n 5 P- Pfaftc MW- MOnWnng Well M-Wme , E Zr�Acetate <br /> ,fir ;� V - VOA Vial 0- 031 WW -Waste Water F NatS203 <br /> Phone 46 4-7G 35 Fax Sampler (print)�',114 -17 0 -Other S - sal x-Other G Other <br /> SAMPLE NUMBER/!D LOCATION/DE RIPTION DATE TIME �o ANALYSIS REQUESTED <br /> W x m t}t CONDITION OF INITIALS <br /> SAMPLED SAMPLED t)Z a SAMPLES <br /> I ; `8 ' E ♦ R RECEIPT ON <br /> a <br /> $ d 8 E Qp k4 <br /> 0.931 Rr � N ,C <br /> 24 ' �acr r r Al �! e <br /> 25` Boz +rj S b +� y <br /> 340 �T S v >K <br /> M 3!o' /' rr 1//7 / G Al SC <br /> I It 11 1 p S <br /> 1220 + Al s- AJ >/ x Iu X <br /> OG+ 1245, ► r �J X <br /> I <br /> r !� <br /> I ry l t <br /> COMMENTS }S,///n 7 ��/7�/ y yf,y�,— — s7 bet,�. RELkN I SIMPLER WREITIME tR CEIVED Ir\ !TIME + r <br /> Z^ A-ei <br /> RELINQUI H M EMME �nIVED Br DATErnME <br /> PO #tel _. .., .,.,_ RELIN HED BY DATEITIME RR&IVED BY DATE/TIME <br /> QA/QC Required?Y!N_ State Forms Required'Y—N_ <br /> RELINQUISHED BY DATEITIME RECEIVED eY LAB DATE/TIME <br />� Tum-aroun8"1'IrTfe Normal V' Rush <br /> (��I*Surcharge) <br /> CORPORATE OFFICE dr LABORATORY a, !C.5 k Zz ��Y � ,.. FIELD OFFICE <br /> �� <br /> PO. BOX 272, 853 Corporation Street '/ Ss ZO 40ma v,54 ,tti< lTa 9SFz Visalia, California <br /> Santa Paula, CA 93060 Telephone (209)734-9473 <br /> Telephone (805)659-0910 Mobile (209)738-6273 <br /> Fax (805)525-4172 WHITE Laboratory Copy YELLOW Customer Copy PINK Field Copy Fax (209)734-8435 <br />