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AdElb <br />ENVIRONMENTAL SenAnual CHAIN OF CUSTODY <br />www.fgI1nc.com Laboratory Copy (I of 3) <br />11111111111111 1111i 11111111111111111 iff <br />QAce &I-aboratory <br />500 Stagecoach Road <br />32570:01/03/2011 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />0125 <br />Client: San Joaquin County Solid Waste <br />Address: Attn: <br />FAX: 805/525-4172 <br />FAX: 209/942-0423 <br />1810 B. Hazelton St. <br />a <br />Stockton, CA 95205 <br />Phone: (209)468-3066 Fax: (209)468-3078 <br />a <br />Contact Person:on "�OgEreq c <br />Project Name: Foothill Landfill SW <br />W . <br />x a <br />Purchase Order Number: <br />f�1 <br />a <br />rQi <br />Z <br />Quote Number: <br />W <br />fn <br />g <br />k3 <br />r, <br />zM <br />� u <br />\ <br />Samplers) sly " t®� � <br />U <br />a <br />� <br />h <br />O <br />Z <br />0 <br />u a� <br />w <br />O <br />dC <br />hSampling <br />Fee: Pickup Fee: <br />a' <br />u <br />x <br />� <br />Compositor Setup Date: _/_/_ Time: _/_ <br />0 <br />o <br />a <br />E <br />O <br />�Sampled <br />O <br />A <br />�p Q <br />N <br />a <br />pNum <br />Ea? <br />°' <br />ua <br />a U <br />0 Z <br />Lab Number: STK 3-2956 <br />5amp <br />Location Description <br />DatTime <br />Sampled <br />=. <br />1 <br />FH -SW -UP- <br />SW <br />1 <br />1,1 <br />- <br />1 <br />2 <br />2 <br />FH-SW-DWN- - <br />G <br />SW <br />1 <br />1, 1, <br />7, /`� <br />7 y, <br />�l'! as— 2 <br />Remarks: K <br />R=W-�IeAv� <br />Date: <br />Time: <br />Relinquished <br />' <br />Date: <br />�8// <br />Time: <br />Relinquished Date: Time: <br />r, <br />/Zai�) <br />ved <br />By: <br />Date: <br />Time: <br />Received By: <br />Date: <br />Time: <br />Received By: Date: Time: <br />VIM <br />I <br />Corporate Offices & Laboratory Office & Laboratory Field Office <br />853 Corporation Street 563 E. LindoAvenue Visalia, California <br />Chico, CA 95926 TEL: 559/734-9473 <br />TEL: 530/343-5818 Mobile: 5591737-2399 <br />FAX: 530/343.3807 FAX: 559/734-8435 <br />QAce &I-aboratory <br />500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />TEL: 805/392-2000 <br />TEL: 209/942-0182 <br />FAX: 805/525-4172 <br />FAX: 209/942-0423 <br />