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i i i i i i i <br /> 3 A.. Annual <br /> R CHAIN OF CUSTODY <br /> www.fglinc.com Laboratory Copy (I of 3) <br /> Client: San Joa 32606:09/0412006 TESTDESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> gain County Solid Waste Q125 <br /> Address: Ann:Dan Johnson <br /> 1810 E.Hazelton St. O <br /> Stockton,CA 95205 <br /> Phone: (209)468-3066 Fax: (209)468-3078 <br /> Contact Person: Dan Johnson -t <br /> � x <br /> c� w <br /> Project Name: Barney Lane Landfill.-Storm I <br /> R <br /> Purchase Order Number, w y <br /> tx �' <br /> Quote Number: v <br /> Sampler($) /f H <br /> C11 <br /> /q/ `� $ 'O <br /> � " I � � o � z v L• T <br /> U 94 > (� <br /> U 4 <br /> Sampling Fee: Pickup Fee: * a 9 N <br /> Compositor Setup Date: / !_ Time:_/_ o a U H ., <br /> off/ 3J w0 <br /> Lab Number: STK rn @ H N N z <br /> 3-2956 o w p, o c°o Eo x <br /> Sampo c - ,: Cs. <br /> Num Location Description Date Time v y v ¢N 3-E <br /> Sampled Sampled <br /> I Harney Lane-Si G SW 1,i,i 1 <br /> Remarks: <br /> Relinquished 9 Date: Time: Relin ed--7DE Time: Relinquished 4 Date: Time: <br /> a:p-7D <br /> Re t y: Date: Time: ived By: Date: Time: Received B <br /> Y: Dare: Time: <br /> Comorate Offlc s& boratory / <br /> P.O.Box 272/SS3 Corporation Street Office&Laboratory <br /> Santa Paula,CA 93061-0272 2500 Stagecoach Road <br /> TEL (8057 392-2000 Stockton,CA 95215 �-.-.2 p� Visalia,California <br /> FAX: (805)525.4172 TEL (209)942-0182 0& I���JV{/ 0 TEL:(559)734-9473 <br /> FAX: (209)942-0423 a Mobile.(559)737-2399 <br /> FAX:(559)734.8435 <br />