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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL� AGRICULTURAL S p www.fgmc.com <br /> Analytical Chemists Laboratory Copy(1 of 3) <br /> llulilul�l,dl Ii�ulil�NII�IIIIIIIII�I�IIIIII�IIIII 35731:0810212021 1 LSI ULS('Rll'TION 'ee Rovers.:side for Cuntamer. PI'eJerYdtl\e alld,Santplmg ullorutatpon �— <br /> Tient: San Joaquin County EPA) <br /> Address: San Joaquin Co.Environmental Health Dep FS <br /> Water Quality Division — a <br /> Atm:Michael Kith <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c. <br /> Phone: (209)468-3444 Fax: r4 <br /> V fit 3� <br /> Contact Person: Michael Kith ff II Q a <br /> Project Name: 2�b Z`/�ef (L A / 5koru�u\ c7 rw <br /> Purchase Order Number: 6 P4C <br /> Quote Number: <br /> E <br /> Sampler(s) oT q <br /> ren k 6raf141 U � A � a <br /> = a <br /> Sampling Fee: Pickup Fee: <br /> a c g4 Q <br /> Compositor Setup Date: / / Time: / fl z O a W <br /> o <br /> Lab Number: STI: qD 3-17919 0 iE a a.. <br /> 79 c = F C4 p`� <br /> ;amp Date Time .5 o E <br /> Num Location Description Sampled Sampled m w O <br /> G DW Sub-3 <br /> 2ernarks: Rel in is d Date: Time: Relinq hed ate: Time: Relinquished Date: Time: <br /> zl t�I12 l S.3 <br /> Rcceic I3y: Date: Time: Received By: y Da Time: Received By: Date: Time: <br /> -7Q <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 />