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®— m <br /> _ . <br /> n. <br /> - s <br /> ENVIRONMENTAL s Year subcontract to CHAIN of CUSTODY <br /> ASS Wd es Customer Copy (2 of 3) <br /> 32570:01/05!2009 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information 0125 <br /> Client: Fruit Growers Laboratory,Inc. <br /> Address: FGL Environmental <br /> 853 Corporation Street a <br /> Santa Paula,CA 93060 o. <br /> Phone: (805)392-2000 Fax: (805)525-4172 3 <br /> Contact Person: # a <br /> Project Name: ` t /�> -(3-2956) 2 <br /> E <br /> Purchase Order Number: c7 w 7 x <br /> Quote Number: <br /> w 6 rx <br /> Samplers} <br /> w z a > <br /> U v5, z^ o <br /> Sampling Fee: Pickup Fee: �b ° o. A <br /> c 0. � <br /> h <br /> v o -5 a u x <br /> E a Z O v <br /> cn E a h c <br /> Lab Number: <br /> c ° <br /> amp <br /> Location Description Date Time o r <br /> Sampled Sampled H a w cG O rn <br /> 1 FH-SW-UP-t- G SW 1 <br /> 2 FH-SW-DWN-: Lf. t ,iG SW 1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> -853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue Visalia,California y <br /> Santa Paula.CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:5591734-9473 <br /> TEL:8051392-2000 TEL:209/942-0182 TEL:5301343-5818 Mobile:5591737-2399 <br /> FAX:805/525-4172 FAX:209/942-0423 FAX:530/343-3807 FAX:559/734-8435 <br />