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IF T%J <br />Se>ni-Annual CHAIN OF CUSTODY <br />www.fglinc.com Laboratory Copy (1 of 3) <br />1111111111111111111111111111111111111111111111 111111111111 <br />33153:07/04/2011 1 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County Solid Waste <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Labor�totw <br />Fleld O ice <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo Avenue <br />3442 Empresa Drive, Suite D <br />Visalia, California <br />Santa Paula, CA 93060 <br />Stockton, CA 952'5 <br />Address: San Joaquin County PWD -Solid Waste Div. <br />San Luis Obispo, CA 93401 <br />TEL: 559/734-9473 <br />TEL 805/392-2000 <br />TEL: 209/942-0182 <br />TEL: 530/343-5818 <br />TEL: 805/783-2940 <br />Mobile: 559/737-2399 <br />FAX: 8051525-4172 <br />FAX: 209/942-0423 <br />FAX: 5301343-3807 <br />FAX: 805/525-4172 <br />FAX: 5591734-8435 <br />Attn: Michael Carroll <br />a <br />1810 E. Hazelton St. <br />Stockton, CA 95205 <br />3 <br />u <br />Phone: (209)468-8504 Fax: <br />C, <br />V <br />uU <br />Contact Person: Michael Carroll <br />_ <br />q <br />�� <br />ti <br />� <br />M O Q <br />Project Name: NC-VS'DR-Jf0i7ll Water "50 <br />v <br />E <br />y <br />o <br />Purchase Order Number: <br />Quote Number: <br />6 <br />ucai <br />< <br />Z <br />E <br />" <br />o <br />¢ v, b <br />> ; <br />p} N <br />U <br />U <br />F <br />3 <br />N <br />N <br />Sampler(s) _/ <br />.. <br />t <br />y <br />y ��. <br />Sampling Pee: Pickp Fee: <br />• <br />p+ <br />x <br />O <br />bq <br />a <br />Time: ql ',06 <br />4 <br />6 <br />U <br />` b0 <br />U <br />b <br />N8 <br />Compositor Setup Date: <br />o <br />n <br />z <br />o <br />O <br />o <br />O <br />ox <br />n <br />Z0 <br />F <br />O <br />v <br />Lab Number: STK 3-2956 <br />F <br />t j <br />Samp <br />Location Descriptio <br />Date <br />Sampled <br />Tie <br />Sampled <br />�5 <br />" <br />t.,nr <br />'Num <br />Z <br />Z <br />0. <br />O <br />�.._ <br />NC sW-1 <br />C3---SwY <br />1r};1;2--•..._.._ <br />_1 <br />3---Ne�SW3- <br />6.. <br />-SW <br />4 <br />NC-SW4- <br />9-+ Z 13 <br />AI'.'—'( 1 <br />O <br />SW <br />1,1,1,2 <br />2 <br />33 <br />Remarks: <br />Relinqui i d <br />Date: Time: <br />uished Date: Time. / <br />linq is Date: Time: <br />NOTE: <br />H <br />�a: <br />ANNUAL INCLUDES SEMI-ANNUAL REQUIREMENTS <br />` Z l; /�' ��� <br />'� f' <br />R�eia ? 13 pte: Time: <br />/ <br />Recgived By: Date: Time <br />R eV e IBI ate• Ti <br />5 YEAR INCLUDES ANNUAL & SEMI-ANNUAL <br />REQUIREMENTS <br />Q <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Labor�totw <br />Fleld O ice <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo Avenue <br />3442 Empresa Drive, Suite D <br />Visalia, California <br />Santa Paula, CA 93060 <br />Stockton, CA 952'5 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />TEL: 559/734-9473 <br />TEL 805/392-2000 <br />TEL: 209/942-0182 <br />TEL: 530/343-5818 <br />TEL: 805/783-2940 <br />Mobile: 559/737-2399 <br />FAX: 8051525-4172 <br />FAX: 209/942-0423 <br />FAX: 5301343-3807 <br />FAX: 805/525-4172 <br />FAX: 5591734-8435 <br />