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CHAIN OF CUSTODY <br /> www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client: Lanae Twins �byN,uum�bberr:� TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3009851 <br /> Address: 1298 W Jahant Rd. <br /> Acamoo. CA 95220 <br /> Phone: (209)339-4055 Fax: <br /> Email Address: aaronManaetwins.corn <br /> Contact Person: Aaron Lanae <br /> Project Nmne: � O 9! <br /> Purchase Order Number: p S <br /> Quote Number: <br /> t-- <br /> Rush Analysis: Day❑4 Day 3 Day❑2 DayE]24 hour o 3 o % C <br /> Rush pre-approval by lab(moals): d (L <br /> Electronic Data Transfer: F—]No❑State ❑Client Other. <br /> Sampler(s): � L m fA ¢¢� en y <br /> m <br /> Sampling Fee: Pickup Fee: $ o a F <br /> Compositor Setup Date: Tune: F f <br /> Samp Location DescriptionDate Time Z � <br /> Num Sampled Sampled <br /> F1 I <br /> w <br /> �a <br /> Remarks Relinquished Date:.�,ff Time: Relinquished JDate: Time: <br /> uishe Date: Tune:. <br /> W�)1locAlec� �a�tt-t,c5� 3�.2o$�°V7/ <br /> JTV Date Time Received By Date- Time Tme <br /> &/L ,;�5.�6M pl QtS'xkk-< 3 M.f <br /> Corporate Offices&Laboratory Office&Laboratory Office 3 Laboratory Office&Laboratory Office S Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue 3442 Empress Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL;(559)734-9473 <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 />