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FriCHAIN OF CUSTODY <br /> www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client: San Joaquin County EHD Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3017919 <br /> Address: Water Quality Division <br /> Attn:Steven Shih <br /> 1868 East Hazelton Ave. <br /> Phone: (209)468-9850 Fax: CL <br /> m <br /> Email Address: sshih@sjgov.Org <br /> Contact Person: Steven Shi��iV)Y� #F <br /> 71 <br /> Project Name: V, <br /> A 4 m <br /> 0 0 W p7 0 <br /> Purchase Order Number: Y90154-41 50 <br /> Quote Number: <br /> F <br /> Rush Analysis: E] S Day 4 Day E]3 Day[]2 Day❑24 hour Q ; <br /> ..ed <br /> Rush pre-approval by lab(initals): Z N <br /> v o <br /> Electronic Data Transfer: 11 No E]Statc ElClient Other: <br /> Sampler(s): f Is <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: Time: f.. E.: Z <br /> a <br /> Samp Location Description jDale Time Z A Z <br /> Nunn led Sampled <br /> � G DW X <br /> em= Relinq ' Dat` Time: Rel nqu' Date: Time: Relinquished Date: Time: <br /> 1*10e 110D <br /> -Mo <br /> 4�t� 6_(J U] ltrn <br /> Receive By: D te: Time: Receiv Dai: Time: Received By: Date: Time: <br /> kv 1 -10 -In- aw <br /> Corporate Offices&Laboratory OtYlce 6 Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2600 Stagecoach Road 563 E.Undo Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stocidon,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:(805)525-4172/Ag FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(659)7348435 <br /> CA ELAP Certification No.1673 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />