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CHAIN OF CUSTODY <br /> EGL Special www.fglfnc.com <br /> ENVIRONMENTAL . , <br /> ' Analytical Chernists Field Copy (3 Ai' 3) <br /> a <br /> 11 - <br /> II,•I <br /> 1:U8 U:,=U.1 - -- _- <br /> 1 �, !IU:� 1, ii •.i. +iii\ i. t 1ll.utl�i I'i:��:\,UI\� dill tidlilhl!�i{_ tllli:lludll. it <br /> Client: tiara Joaquin C no EHD — <br /> Address: San Joaquin C Environmental Health Dep <br /> Water Qualityvision 3 a <br /> Attn: Michael Kith r4 <br /> 1868 East Hazflton Ave. v <br /> Stockton,CA 95205 3 <br /> y <br /> Phone: (209)468-3444 Fax: LU 3 <br /> t� oq v <br /> Contact Person: Michael Kith <br /> � x <br /> Project Name: <br /> Purchase Order Number: x 3 C- <br /> >U > n O <br /> a; > <br /> Quote Number: a =' v <br /> E <br /> Sampler(s) 0 vW z > O C? <br /> ` o <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: _1 / Time: / z O w <br /> -- Ec 2 <br /> 0 <br /> Lab Number: STK 3-17919 0 vO i n ti > <br /> o t E pO DC7 <br /> Sam Date Time Fa ¢ r , °' E <br /> Num Location Description Sampled Sampled H q £'n p n'w <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&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 />