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CHmri OF CUSTODY <br /> Special Subcontract to i ' www.fglinc.com <br /> Analytical Chemists Babcock Laboratories, Inc. Customer Copy (2 of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION See Reverse side fe r Container,Preservative and Sampling information <br /> Client: Fruit Growers Laboratory,Inc. <br /> Address: FGL Environmental.Inc. <br /> 853 Corporation St. — .a <br /> Santa Paula,CA 93060-3005 y a <br /> Phone: Fax: 3 a <br /> Contact Person: <br /> a <br /> Project Name: <br /> - (3-17919) <br /> Purchase Order Number: w o <br /> a T <br /> Quote Number: ,o <br /> Samplea' W a � F" oa <br /> o vii z o A <br /> U ' <br /> Sampling Fee: Pickup Fee: O o <br /> Compositor Setup Date:_/_/_ Time: a z p x a w <br /> 0 <br /> Lab Number: o w a T � -. c j <br /> 0 0 F P4 O C7 <br /> lamp Date Time <br /> Num Location Description Sampled Sampled E> 0 M � p <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Receive y:n D te: Time: Received By: <br /> Date: Time: Received By: Dais: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa 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 /> Phone: (805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(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 />