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� 4 <br /> CHAIN OF CUSTOD Y <br /> www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Ciiwr. San Joaquin County EHD Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3017919 <br /> Address: Water Quality Division <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Phone: (209)468-3452 Fax: <br /> Email Address: ssangalang@sjgov.org <br /> omtact person: Scott Sangalang -+ <br /> Project Name: <br /> Purchase order Number: <br /> Quote <br /> Rush Analysis: 5 Day 4 Day 3 Dry 2 Day 24 hour <br /> 01 <br /> Rush pro-approval by lab(initals): cVa`v� <br /> Electronic Data Transfer: [--]No State Client Otter: ' ^ <br /> v ' a. <br /> Sampler(s):Sa� �a h�mm�vo► a� ° <br /> a <br /> 2 � 1� o <br /> Sampling Fan: Pickup Fee. SJ O F <br /> Compositor Setup Date: Time: t- <br /> r �w <br /> Samp Location Descrimon Date Time 2 m <br /> Num Sampled Sampled <br /> W e.� G DW 1 <br /> ed Date: Time: Rekuluished Date: Time: Re6ngniishod Date: Time: <br /> /0 <br /> Received By: Date: Time: Rgv4ed By: Date: Time: Received By: Time: <br /> ;' 0*-V l nt6- /7(t) SL <br /> Corporate Oinces&Laboratory otnce&Laboratory ci OMce&Laboratory O lce&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue 3442 Empresa Drtve,Suite D 9411 W.Goshen Avenue <br /> Santa Paula.CA SM60 Stockton,CA 96215 Chico,CA 96926 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 /> CA ELAP Certification No.1673 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP CeMflcatlon No.2810 <br />