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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fglinc.com <br /> Analytical Chemists Customer Copy (1.of 3) <br /> 35731:08/02/2021 i13 A. <br /> NEST DESCRIPTION - See Reverse side for Container.Preservative and Sa`_pling information <br /> Client: San Joaqulh County EHD <br /> Address: San Joaquin'Co.Environmental Health Dep I 4 <br /> Water Quat-yy Division <br /> Atm: Mic l Kith ) i 3 r4 <br /> 1868 East Nazelton Ave. <br /> Stockton,(`Y?, 95205 <br /> a <br /> y <br /> Phone: (209)468-3444 Fax: <br /> C7 Q 3 <br /> Contact Person: Michael Kith Q <br /> 2 <br /> Project Name: v v) a v° b <br /> Purchase Order Number: _r <br /> Quote Number: o ¢ V <br /> Sampler(s) O Q <br /> U } y N C) ^ <br /> Sampling Fee: Pickup Fee: __ ° R b V <br /> c. <br /> Compositor Setup Date: /_/ Time: _ E z C Q <br /> v� E <br /> Lab Number: STK 3-17919 c v') iZ a b > <br /> 0 o v (✓ a )C7 <br /> ;amp Date 'Time -S & <br /> Num Location Description Sampled Sampled F a q p <br /> I G DW Sub-3 <br /> 3emarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: 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 />