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rn _ <br /> Subcontract to 0 <br /> (� BSK Associates z\F.TI(159 FGLEn2ON) 10/07/2022 � <br /> Chain of Custody Information Sample Information Z 1() <br /> Lab Number: <br /> Client: Fruit Growers Laboratory <br /> Address: 853 Corporation St. <br /> Santa Paula,CA 93060-3005 <br /> Phone: Fax: o a <br /> Contact: > "' a <br /> Project: SM254408 "' °' �' a <br /> G, � a � w <br /> Purchase Order: F _`~ �, ,Q <br /> E Z w O n <br /> Sampler(s): Frank Giardi J to m o 0 <br /> 0 <br /> Eo w <br /> p o a v <br /> Compositor Setup Date: Time: c U) a LV <br /> p <br /> y <br /> lamp Date Time m <br /> Num location Dascripilon Sampled Sampled Pn CC PDQ <br /> 1 Wellhead 10/06/2022 12:01 G DW 3 <br /> Remarks Refrtt fished Date Time Relinquished Dalr Time Relinquished Date Time <br /> o <br /> +Re V.4 by: Date Tfine Received By- Date lime Receive!3% <br /> Date Time <br />