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- -= CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> s Special www.fglinc.com <br /> Analytical ChernistsCustomer Copy (2 of 3) <br /> y IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII��IIIIIIIIIII�'Illlilll 35731:0802 2021 ILSI DESCR1PI10,N - See Re%eu, >.i iol Ciauanier, and Setrnplmg inlornisuuii --- <br /> �hent: San Joaqufn County EHD <br /> ddress: San Joaqu44 Co.Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn:Michael Kith E x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kith cc d F" <br /> 2 >A <br /> IJI>. <br /> Project Name: �Zl <br /> Purchase Order Number: C' v w ca <br /> � O <br /> Quote Number: 4 <br /> E <br /> Samplers) Gru v. l ij c v'� o Cn z > O A <br /> o p 5a o <br /> Sampling Fee: Pickup Fee: a ° ; o E < <br /> a <br /> Compositor Setup Date: /_/_ Time: /_ E Z O a w <br /> a Gj <br /> O <br /> Lab Number: STK 3-17919 0 ;2 a a > <br /> 0 0 _°v.' F aa � <br /> � <br /> Samp Date Time fl � t5E <br /> Num Location Description Sampled Sampled H p0, pa pap C) <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Rece�iveod/B - Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Coreorate 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 />