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CHmri OF CUSTODY Special www.fglinc.com Analytical Chernists Customer Copy (2 of 3) 3+731:08,02,_'021 Client: San Joaquin County IIIHD Relinquished a z Relinquished Address: San Joayuin Co. Envi nmentai Health Dep r:b Receiv r t L rl ate: Z1vJ t Time: 1 Water Quality Division Lab Number: STK 3-17919 Office & Laboratory �T' 3 a 2500 Stagecoach Road Attn: Michael Kith i Samp Santa Paula, CA 93060 Date V x Location Description 1868 East Hazelton Ave. Sampled Phone: (530) 343-5818 E a co co O Stockton, CA 95205 t 1 3 a DW Phone: (209)468-3444 Fax: C7 * [i1 Sub -3 x Contact Person: Mic ael" Project Name:rr,, Purchase Order Number: pc (p V I > a 0 Quote Number: E o w a z E rn O a V A Samplers) ( Sampling Fee: Pickup Fee: C 0.i'j:'7 e h Compositor Setup Date: /� ime: / Relinquished a z Relinquished r:b Receiv r t L rl ate: Z1vJ t Time: 1 Received By: Lab Number: STK 3-17919 Office & Laboratory �T' o 853 Corporation Street 2500 Stagecoach Road 0S o Samp Santa Paula, CA 93060 Date Time Num Location Description Sampled Sampled Phone: (530) 343-5818 E a co co O v� 1 G DW Sub -3 I I�ILi� utaIIi,i. i'i.1rr, I i I Kh,;u,Ir Remarks: Relinquished Dar: Time: Relinquished r:b Receiv r t L rl ate: Z1vJ t Time: 1 Received By: Corporate Offices & Laboratory Office & Laboratory Office & Laboratory 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Fax: (530) 343-3807 Date: Time: Date: Time: —I- � ied Date: rimy: By: Date: Time: Office & Laboratory 3442 Empresa Drive, Suite D San Luis Obispo, CA 93401 Phone: (805) 783-2940 Fax: (805) 783-2912 Office & Laboratory 9415 W. Goshen Avenue Visalia, CA 93291 Phone: (559) 734-9473 Fax: (559) 734-8435