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011��&Mw CHmrI OF CUSTODY <br /> __-- Special www.fglinc.com <br /> EN I ONMENTAL -- AGRICULTURAL <br /> Analytical Chemists Field Copy (3 of 3) <br /> 3;731:1111 02 21121 11-51 DLSCR1PlluA Jrc'R��ci,i aIle 1"I Ci1WJJI1C1_I'rc�ei�,unc and Sampling mluuna�l"n <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Michael Kith �, a <br /> 1868 East Hazelton Ave. fl <br /> Stockton,CA 95205 <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith A <br /> Project Name: <br /> Purchase Order Number: U b <br /> Quote Number: U <br /> Sampler(s) o *vWi O A <br /> U <br /> o O •a vai <br /> Sampling Fee: Pickup Fee: S ; o d <br /> Compositor Setup Date: / / Time: o z O x Q w <br /> E <br /> O <br /> Lab Number: STK 3-17919 0 ii a <br /> 0 0 ?? H a0 0 <br /> Samp Date Time 6 n '� <br /> Num Location Description Sampled Sampled � > a°, cc W p rn a <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Dale: Dime: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Datc: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Officer Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 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 /> Phone:(805)392-2000 Phone:(209)942-0182 Phone: (530)343-5818 Phone:(805)783-2940 Phone:(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 />