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ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIn OF CUSTODY <br />www.fglinc.com <br />Customer Copy (2 of 3) <br />P <br />ry I <br />35731:08/02/2021 <br />TEST DESCRIPTION See Revere side for Container, Preservative AA Sampling <br />information <br />Client: San JoagAdn County E11D <br />_ <br />Address: San Jtoaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Michael Kith <br />3 <br />1868 East Hazelton Ave. <br />ti <br />I <br />Stockton, CA 95205 <br />3 <br />= <br />Phone: (209)468-3444 Fax:CIOa_ <br />C7 <br />W <br />Contact Person: Michael Kith <br />A <br />A <br />¢ <br />r'. "I"C,r <br />Project Name: T Z <br />Purchase Order Number: <br />U <br />W <br />h <br />O <br />Quote Number: s <br />o <br />o <br />0a <br />z <br />E <br />> <br />O <br />U <br />A <br />Sampler(s) <br />it <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: / / Time: / <br />o <br />z <br />p <br />a <br />w <br />Lab Number: STK 3-17919 <br />o <br />bo <br />N <br />0 <br />o <br />ii <br />0 <br />a <br />.. <br />j <br />C)� <br />o E <br />Samp <br />Location Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />Cnv <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Dime: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 /Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />