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CHAIN OF C USTOD Y <br /> W.WwfglZnc.com AND ANALYSIS REQUEST DOCUMENT <br /> Clicnt: San Joaquin County EHD ZLab umber- TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3017919 <br /> Address: Water Quality Division <br /> Attn:Steven Shih <br /> 1868 East Hazelton Ave. <br /> Phone: (209)468-9850 Fax: W <br /> Email Address: sshih@sjgov.org <br /> Contact Person: Steven Shih <br /> Project Name: L V v� �, '(q a G <br /> Purchase Order Number: ����'�`► . w <br /> Quote Number: (D _ +� 0 <br /> C <br /> Rush Analysis: 5 Day 4 Day 3 Day 2 Day 24 hour ~ $ L E <br /> _ cD 1 a <br /> Rush pro-approval by lab(initals): y Z <br /> b! 01 A C7 N <br /> Electronic Data Transfer: No State [:]CGent Other: <br /> yy _ +zS <br /> L.: v <br /> A-o.� <br /> 6zowklf <br /> C <br /> U <br /> Sampling Fee: Pickup Fee: <br /> 0 oa <br /> Compositor Setup Date: Time: g Zt <br /> Samp Location Description Date Time 2 Z ,' Z <br /> Num Sampled Sampled <br /> G DW x <br /> Remarks Relinquis Date: Time: Relinquished D te: Time: Relinquished Date: Time: <br /> VA t-x I no <br /> Received Date: Time: Rece Paw Time: Rec 'ved By: Date: Time: <br /> IZ � <br /> Corporate Officos B.Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office$Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 663 E.Undo Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 96216 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)734-8436 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br /> N�,k <br />