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FGL Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL — P www fgUnc.com <br /> Analytical Chemists A Laboratory Cony (1 of,3) <br /> ti 1 35731:08/02/2`21 TEST DESCRIPTION - See Re\er,e .isle f,a'Coniainer. Pre,:":native I Sampling inCormatiun <br /> Client: Sark:, aquin County EHD <br /> (Add1.ress: Sanaquin Co. Environmental Health Dep <br /> War" Quality Division - <br /> Attri'Michael Kith a <br /> 186Fy fast Hazelton'Ave. <br /> Stod�on,CA 95205 3 <br /> Phone: (209)468-3444 Fax: A 3 <br /> Contact Person: Michael Kith 1 ¢ E <br /> Project Name: lc vt <br /> Purchase Order Number: <br /> ku'�U= G&' ; 0 <br /> j�r�� th <br /> Quote Number: N a `" a <br /> E <br /> a. <br /> Samplers) 0 &n z � O <br /> = a <br /> ° <br /> Sampling Fee: Pickup Fee: S <br /> c lu ° Q <br /> Compositor Setup Date: / / Time: / a z O R w <br /> Lab Number: STK 3-17919 0 01) a a 9 <br /> c 0 � F aa DC7 <br /> amp Date Time -E ; b D E <br /> Num Location Description Sampled Sampled 5 p <br /> Dom' Sub-3 <br /> Remarks: Relinquished Date: Time: elinq ' hed Date: T Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Re eived By: Date: Time: <br /> Corporate Offices&Laboratory Qffie6&Laboratory Office&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 />