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EM ENVIRONMENTAL AGRICULTURAL Analytical Chemists Special CHAiri OF CUSTODY www.fglinc.com ' Field Copy '(3 of 3) Corporate Offices & Laboratory 35731:1h.022t1_1 I I_ll 1)LSCRll'I N,c RL Int.unci. Client: San Joaquin Count), EHD Santa Paula, CA 93060 Stockton, CA 95215 Phone: (805) 392-2000 Phone: (209) 942-0182 i Address: San Joaquin Co. Environmental Health Dep Water Quality Division — Attn: Michael Kith j v a 1868 East Hazelton Ave. y Stockton, CA 95205 3 C,, Phone: (209)468-3444 Fax: � Q 3 Contact Person: Michael Kith „ ¢ 2, a Project Name: a � V) x Purchase Order Number: U W 3 a �^— Quote Number. y o o w �„ _E z v �, ; �DO a U Q Sampler(s) U Cn rx Sampling Fee: Pickup Fee: 5 ;, o Compositor Setup Date: /_/ Time: /_ a'L E E = z i O t4 *U a L CL w U Lab Number: STK 3-17919 0 o — V) U a_ '—' a- j Sam Location Description Date Time Nutp Sampled Sampled w p p " G DW Sub -3 Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Datc: Timr: Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: Corporate Offices & Laboratory Office & Laboratory 853 Corporation Street 2500 Stagecoach Road Santa Paula, CA 93060 Stockton, CA 95215 Phone: (805) 392-2000 Phone: (209) 942-0182 Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Office & Laboratory 563 E. Lindo Chico, CA 95926 Phone: (530) 343-5818 Fax: (530) 343-3807 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