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Vgt%-Ilalll vi%-UbLUUY PUL'1'emplate Blank <br /> CHAIN OF CUSTODY <br /> 'ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab}I u�m er TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: San Joaquin County Solid Waste <br /> Customer Number: 3002956 <br /> jAddress: c/o San Joaquin Co.Purchasing <br /> P.O.Box 1810 <br /> Stockton,CA 95201 <br /> Phone: (209)468-3066 Fax: (209)468-3078 <br /> Contact Person: 'Jo hn c0 P ev c { <br /> Project Name: '®�'r•G�+ O��B/i�1I..and-t'1 Il, I Y <br /> Purchase Order Number: t �/T c+'T`og®.Z®«� 49 1 <br /> Quote Number: Ij [3 Z <br /> 190 <br /> Sampler(s): J0 h n 'l�.6 r(2 �+ <br /> I I <br /> .t C it m lh qjy i 'I <br /> Sampling Fee: Pickup Fee: t <br /> Compositor Setup Date: 9 � Time: m m <br /> ..... _ ... <br /> Samp Location Description Date Ttme j <br /> Num Sampled Sampled j <br /> a <br /> 5. .. <br /> i <br /> i,,,. - _ _ <br /> LI ' <br /> _.... ...............-- ._.... .... .-...- -._.._..__ _.__._.. ........ - — - - - - <br /> .. - -- - <br /> Fc <br /> Remarks Relinquished Date: Tteed Date: Time: Relinquished Date: Time: <br /> V� b �� <br /> ecieved By: Date: Ty: Date: Time: Re ' ate: Time: <br /> se <br /> 1 of 1 09/07/2005 11:53 AM <br />