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IM-= CI mri OF CUSTODY <br /> _-- - Special www.fglinc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemistsf. Customer Copy (2 of 3) <br /> 6 <br /> IIIIIII VIII VIII II VIII VIII VIII VIII VIII VIII IIII IIII 35731:08/02/2021 TEST DESCRIPTION - See Reverse Fide for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Michael Kith p; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 ° <br /> a <br /> v <br /> Phone: (209)468-3444 Fax: <br /> w 3 <br /> Contact Person: Micbae.Mth <br /> VV C7 W o <br /> Project Name: <br /> Purchase Order Number: ,��0 > 30 Q <br /> Quote Number: o 0 d 'nU <br /> E <br /> Sampler(s) U z O A <br /> Sampling Fee: Pickup Fee: E c <br /> a, c 04 <br /> d <br /> Compositor Setup Date: / / Time: / �, z O p w <br /> W) <br /> Lab Number: STK 3-17919 0 ii o a > <br /> 0 0 �C7 <br /> Samp Date Time 6 K '' 6 E <br /> Num Location Description Sampled Sampled � F a pq pq p <br /> 1 G DW Sub-3 <br /> Remarks: linquisIt d Date: Time: Relinquished Date: Time: Relinquished Date: 'Time: <br /> C <br /> Received B* Date: Time: Received By: Date: Time: Received By: Date: "1 ime: <br /> �. ��Z 22 1225 <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 />