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r r rr r r r r r r r rr r <br /> ErMRONMEMALAnnual CHAIN OF CUSTODY <br /> www.fgllnc.coxa Laboratory Copy (i of 3) <br /> IT 32606:09/04/2006 TEST DFSCRIPTION - See Reverse side for Container,Preservative arxI Sampling information 0125 <br /> Client: San Joaquin County Solid Waste <br /> Address: Atm:Dan Johnson <br /> 1810 E.Hazelton St. <br /> Stockton,CA 95205 <br /> Phone: (209)468-3066 Fax: (209)468-3078 O F <br /> Contact Person: Dan Johnson « x <br /> Project Name: Harney Lane Landfill-Storm 1 ° <br /> Purchase Order Number: c7 w v a <br /> Quote Number: tj a <br /> Sampler(s) y <br /> Q a <br /> l`'!/F--f- <br /> a <br /> U <br /> Sampling Fee: Pickup Fee: c a 9 x <br /> Compositor Setup Date:_I /� Time:_/_ = o a <br /> 2 ° U y a ti O <br /> ° <br /> LA Number: STF{ �1 3✓� 3-2956 <br /> 44 :s x <br /> t, C? E°p <br /> °a <br /> 5amp Date Time •� U Q N <br /> Num � <br /> Location Description Sam Ied Sampled °o °�' <br /> P P <br /> 1 Harney Lane-S1 /3Oo G SW <br /> Remarks: Relinquished Date: Time: Iletin ed,.�LC t Time: Relinquished Date: Time: <br /> R;f: y: Date: Time: ved By: Date: Time: Received By: Date: Time: <br /> `r <br /> Coroorate_2 853 o Lab ratory Office&t aboratm n_�f} Fiald otHce <br /> P.O.Box la,/853 Corporation Street 2500 Stagecoach Road i(r�U �� Visalia,California <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 �n�g^, fl�t%V 0 TEL:(559)734-9473 <br /> TEL (805)392-2000 <br /> TEL- (209 942-0192 0' 0 <br /> FAX: (805)525.4172 FAX: (209)942.0423 FAX.(559)734-8435 9 <br />