Laserfiche WebLink
CHAIN OF CUSTODY <br /> • www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client: San Joaquin Countv EHD Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3017919 <br /> Address: Water Qualitv Division <br /> Attn: Michael Kith <br /> 1868 East Hazelton Ave. <br /> Phone: (209)468-3444 Fax: <br /> Email Address: mkith(o)..sicehd.eom <br /> Contact Person: Michael Kith <br /> Project Name: 21455 Eastern Heights-Linden ty o c <br /> Purchase Order Number: <br /> Quote Number: ddd V <br /> Rush Analysis: ❑ 5 Day❑4 Day❑3 Day E] 2 Day❑ 24 hour a <br /> Rush pre-approval by lab(initals): 4 2 RE <br /> Electronic Data Transfer: No State ❑Client Other { <br /> Sampler(s): ai Z <br /> Sampling Fee: Pickup Fee: t) <br /> E <br /> Compositor Setup Date: Time: <br /> Samp Location Description Date Time r$ v <br /> Num Sample(di SampledDW <br /> r— '-Fr— <br /> F-P1 Wellhead \ \ G 1 ��F�1-I ��� — ��I �� <br /> I -F-F-F-� F-7-7- -F- F-- <br /> !- �� �(-� �f � f���f I-II- f f--I- <br /> Remarks Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Tune: <br /> Replacement for STK1935845. `4\ \� ( �3/ <br /> No charge. \\ \ "J <br /> ARecc4d By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offlees&Laboratory Office R Laboratory Office&Laboratory Offloe 6 Laboratory Offlee b Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue 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 /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(605)525-4172/Ag FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8436 <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 />