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FGJI Crlmri OF CUSTODY <br /> ENVIRONMENTAL A(A-RICULTURAL Special www.fglinc.com <br /> Analytical Chernistsi <br /> . Field Copy (3' <br /> i. 35731:08/02/2021 ST DESCRIPTION - See Reverse side for Container. Preservative and Samp.~m, information <br /> Client: San Joaquint,ounty EHD <br /> Address: San Joaquin 4. Environmental Health Dep <br /> Water Qualitybivision <br /> Atm: Michael Kith 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-3444 Fax: w y x <br /> en � <br /> Contact Person: Michael Kith ¢ <br /> Project Name: v� <br /> Purchase Order Number: <br /> W ¢ rn a <br /> Quote Number: o x 6 v <br /> Sampler(s) 0 vWi z O G? <br /> U * <br /> m a <br /> A <br /> O 'a n <br /> Sampling Fee: Pickup Fee: .5 eq ; o <br /> a c ¢ <br /> Compositor Setup Date: / / Time: / z p a w <br /> --- rn E o cl) <br /> Lab Number: STK 3-17919 0a o .. > <br /> 0 0 = H a� p� <br /> Samp Date Time 'a CL v r <br /> Num Location Description Sampled Sampled F- p:, M O a <br /> I G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished <br /> Received By: bate: Time. Received By: Date: Time: Received By: Date: l imc: <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 />