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MOnplaMiik <br /> CHAIN OF OUST®DY <br /> =fENVIRONMENTAL <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: San Joaquin County Solid Waste <br /> Customer Number: 3002956 m <br /> Address: c/o San Joaquin Co.Purchasing <br /> P.O.Box 1810 $' 17 <br /> Stockton,CA 95201 43 <br /> 'Phone: (209)468-3066 Fax: (209)468-3078 s� s <br /> Contact Person: John core 2 <br /> f 0 " <br /> Project Name: Cc,#-pRt! HoIlow Land-Fi 11, � <br /> �+ _ <br /> Purchase Order Number: -1�"�" Ki c�" <br /> !Quote Number: <br /> Sampler(s): John l..®revi ilk <br /> V) m <br /> 2coow. <br /> In <br /> i <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: O.S� Time: <br /> I Samp Location Description i Date Time z <br /> Num Sampled Sampled <br /> Cf�"ova <br /> SOS ? r, 10� <br /> _ 1 <br /> _ ... ............. .................. . ...... ....... . ...... <br /> Remarks Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Nail <br /> . 0 <br /> OIL <br /> ecieved By: Date: Time: ecieved By: Date: Time: Re ate: Time: <br /> t ; w <br /> me- <br /> (Gel <br /> a <br /> 1 of 1 09/07/2005 11:53 AM <br />