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A_. ENVIRONMENTAL Quarterly CI[AIn of CUSTODY <br /> www.fglinc.com Laboratory Copy (I of 3) <br /> 34409:03/19/2010 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Proactive <br /> Address: 4343 F.Fremont Sheet <br /> Stockton. CA. 95215 ,j <br /> 3 °d <br /> y N <br /> Phone: (209)546-0111 Pax: (209)546-0444 3 > <br /> a <br /> Contact Person: John Robin " � � � B <br /> N Q <br /> Project Name: Waste Water Testing e 'o a y <br /> Purchase Order Number: m n —• Z <br /> Quote Number. ST 20(00317-01 <br /> Zi <br /> xT <br /> Samplers) <br /> L O 4 y T O 5 <br /> on <br /> Sampling Fee: Pickup Fee: $ e & W <br /> V H r <br /> — o ap <br /> Compositor Setup Date: _!_/_ Time:_!_ e' <br /> v m z m.� V U o u' E <br /> `o roHn di °Lab Number: STK o 53 ZLq' 3-16551 u »mrnar <br /> aop Dae Time D 9<_Q <br /> Location Description U nv1FII <br /> "n .2 <br /> Num Sampled Sampled _: <br /> \ZZo <br /> 1 Waste Water 3 ID O WW 1 1 X +� <br /> Remarks: Relin Dam: Time: uished Dare: Time: jt linqu hed Detc: Time: <br /> Please call in advance m schedule to insure that there is water 3 \ t, 3��/fid /706 �o 100 I1/' o <br /> to sample g): Date: Time: R 1ved�l 3 Date: Tithe: Ree ved Hy: Date: �Timme: 1 a <br /> //wo �7o I� l0 !011 <br /> Corporate Offices&Laboratory Office&Laboratory Office FA1 ¢QK@.-t9 ( 1 FS1�4-fF <br /> 853 Ccrp�'ration Sheat 25•'0 Staoeroach Road 5C3 E.Lind,Ave,, `:Lsaiia,Cai'tw':n <br /> Santa .nsu`a.CA 91060 SM,ktco.C @5215 CP,:,' CA.75926 fE.. 559!734-34`! <br /> PL P35':,. 12L'oO . . JEt. 219942-0:8' U 5ZT,243..591F Mcbile.55917+'.2393 <br /> TAX'905!6T541U FAX: 64!912(}123 PAX FAX 559Pa4-&335 <br />