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CHAIN OF CUSTODY <br /> ENVIR• www.fglinc.com com <br /> fgliAND ANALYSIS REQUEST DOCUMENT <br /> Analytical Chemists <br /> Client: San Joaquin Countv EHD Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3017919 <br /> .address: Water Qualitv Division <br /> Attn: Michael Kith <br /> 1868 East Hazelton Ave. <br /> Phone: (209)468-3444 Fax: ? s m <br /> Email Address: mkith a.sicehdCL <br /> � S> � <br /> Contact Person Michael Kith a <br /> Project Name: �/ �' <br /> � v`�087 .�- L-Q'rn f'YierS <br /> Purchase Order Number: 8 O y z L p v <br /> S <br /> Quote Number: Ur <br /> Rush Analysis: M 5 Day F]4 Day E]3 Day❑ 2 Day F 24 hour m m Q O <br /> p n c Z. O y mm <br /> Rush pre-approval by lab(initals): o a L om i:�cOv <br /> E m o a ch 'o m Q <br /> Electronic Data Transfer: ❑No ❑State DChent Other: �j° 01 3 D7 n a N z <br /> Sampler(s): m m F O ) <br /> 6i _ <br /> nE 7E m z °1 d o M <br /> y'( n <br /> U) U m w <br /> C/� w �^n <br /> Sampling Fee: Pickup Fee: o d <br /> Compositor Setup Date: Time: N a, <br /> E a cA son �. <br /> Samp Location Description Date Time z r3 ° Fm m m <br /> Num Sampled Sampled <br /> � II-�F- F-F-�� <br /> Remarks lutquish 1 DatZ.e:,(�HI�Time: l Relinquished Date: Time: Relinquished Date: Tune.12 J�i <br /> is <br /> Rec: By: Date: Time: Received By: Date Time. Received By. Date: Time <br /> 0//.Zo <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,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:(559)734-8435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA FLAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />