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CHAIN OF CUSTODY <br /> ENVIRONMENTAL - Special www.fglinc.com <br /> Analytical Chemists e Customer Copy (2 of 3) <br /> IIIIIIIIIIIIIIIIIII lllllli lllllllllll lllllllllllllllllllllll 35731:08/02/2021 TEST DESCRIPTION - See Rever .side for Container,Preservative and Sampling information <br /> 'licnt San Joaquin County EHD ir <br /> 3, <br /> \ddress: San Joaquin Co. Environmental Health Dep 4 <br /> Water Quality Division <br /> Atm: Michael Kith x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> 'hone: (209)468-3444 Fax: <br /> -ontact Person: Michael Kith A Q <br /> 'roject Name: lu <br /> 'urchase Order Number: <br /> y w ¢ x 0 <br /> 2uote Number: x _ A. <br /> o U <br /> M <br /> 3ampler(s) a o rw z T Q <br /> Z <br /> esu o O <br /> Sampling Fee: Pickup Fee: 5 0 o <br /> aQ <br /> compositor Setup Date:—/—/ Time: /— E o z O w <br /> iab Number: STIP 3-17919 0 a n > <br /> 0 <br /> amp Date Time -5 '� p E <br /> Num Location Description Sampled Sampled H a oa w O rn <br /> 1 G DW Sub-3 <br /> iemarks: Relinquished Date: Dime: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Tinu•: <br /> 11 <br /> t <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 />