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CHAIN OF CUSTODY <br /> WWW..fgl inc.coin AND.ANALYSIS REOUEST DOCUAIF.N7' <br /> Client. Lanae Twins Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Cusionwr Number: 3009851 Z <br /> Address 1298 W Jahant Rd. <br /> ACamDO.CA 95220 <br /> Phone: (209)339-4055 Fax: <br /> a <br /> Fn,aa Address: aaron(d).lanaetwins.eom tz <br /> Contact Person: Aaron Lanae c <br /> Project Name: DBCP Monitoring a o c 8 <br /> Purchase Order Number: 0 _ O 0- <br /> Quote Number: T I1 <br /> t- V <br /> Rush Analysis: 5 Day O 4 Day❑3 Day 2 Day 24 hour 3 8 <br /> Rush pre approval by lab(mitals): 40 <br /> dzCY <br /> � aj o m <br /> Electronic Data Transfer: 0 No 0 State OClicrot Other: K 2 <br /> L° � � 1 <br /> Sampler(s): 6 m <br /> C 2 Y m <br /> E c � c art <br /> Sampling Fce: Pickup Fee: $ $ !! w 3 <br /> Compositor Setup Date: Time: ,� 'Q <br /> Samp Location Description Date Time i 1 � a W rn <br /> Nun Sampled Sampled <br /> 0 Travel Blank c �- G 2 V TB X X <br /> 1 �-- G 4 V GW X <br /> e=rks Relinquished Date: Time: Reling lied Date: Time: R is red Date: Time: <br /> G00 <br /> Latitude: 3o• _�,,w .�wo - - - - - <br /> IGIW z114 <br /> Longitude:.�.L�,�j��`� le: Time: Received By: Date: Time Received By: Dat : Time <br /> G�<1i0Z/ /, �o Ip/« /" /7� U-1� <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue 3442 Empresa Drive.Suite D 9415 W.Goshen Avenue <br /> Sante Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Ob spa.CA 93401 Visalia,CA 93291 <br /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)7349473 <br /> Env FAX:(805)525-4172/Ag FAX(805)392-2063 FAX.(209)942.0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />