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CI mri OF CUSTODY <br />-- - -Special <br />Time: <br />Relinquished <br />Date: <br />Time: <br />Relinquished <br />Date: <br />Time: <br />www.fglinc.com <br />Time: <br />ENVIRONMENTAL AGRICULTURAL <br />Date: <br />Time: <br />Received By: <br />Date: <br />Time: <br />Analytical Chemists <br />Field <br />Copy <br />(3 of <br />3) <br />Il��i�l JIT I�GL�IIIIIIIiiI�Lo��Illlii�6�iLJl� <br />31:08,02 <br />021 <br />1,.51 DLSUR11,�11O:. <br />,�� R�,��,�� <br />,idc <br />�m t c t'111141.�_- <br />4 <br />_ _— <br />;'lient: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />a <br />Atm: Michael Kith <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />p <br />Phone: (209)468-3444 Fax: <br />w <br />Q4) <br />x <br />2ontact Person: Michael Kith <br />A <br />Project Name: <br />a <br />�n <br />Purchase Order Number: <br />3 <br />Quote Number: <br />N <br />U <br />Sampler(s) <br />Sampling Fee: Pickup Fee: <br />c <br />o <br />Q <br />Compositor Setup Date: / / Rue: / <br />o <br />z <br />O <br />a a <br />w <br />0 <br />Lab Number: STK 3-17919 <br />0 <br />-S%�' <br />0 <br />�z.. <br />o <br />H <br />rx <br />0 C7 <br />E <br />;amp <br />Date <br />Time <br />Nam <br />Location Description <br />Sampled <br />Sampled <br />v <br />F. <br />a <br />A <br />uG <br />[C O <br />v� <br />I <br />- <br />G <br />DW <br />I <br />I <br />I <br />I Sub -3 <br />2emarks: <br />Received By: <br />Daie: <br />Time: <br />Relinquished <br />Date: <br />Time: <br />Relinquished <br />Date: <br />Time: <br />Date: <br />Time: <br />Received By: <br />Date: <br />Time: <br />Received By: <br />Date: <br />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 />