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ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />Special CHAIN OF CUSTODY <br />P www.fglinc.com <br />Laboratory Copy (1 of 3) <br />qq <br />- <br />Office & Laboratory <br />35731:08,112,2021 <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />ILSI D;LtiC <br />RIP110N <br />Sec Rc,crse <br />side <br />Ior ColitautcI. <br />1'rescnau,c <br />and <br />Sampling <br />mlkrrntatiun —1 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />r <br />'lient-. San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Del, <br />Water Quality Division <br />Attn: Michael Kith <br />x <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a. <br />?hone: (209)468-3444 Fax: <br />* <br />x <br />-ontact Person: Michael Kith <br />A <br />'roject Name: <br />Cd <br />CLIZ <br />?urchase Order Number: <br />2uote Number: <br />a <br />d <br />rn <br />a <br />>~ <br />W <br />z <br />8 <br />ti <br />A <br />_ <br />Sampler(s) �. J <br />' <br />f,,AJt/La <br />c <br />o <br />p <br />va <br />Sa <br />o <br />Sampling Fee: Pickup Fee: <br />[ <br />o <br />Compositor Setup Date: / / Time: <br />z <br />O <br />Q <br />w <br />_/ <br />w, <br />Lab Number: STK <br />3-17919 <br />0 <br />ii <br />o. <br />C <br />d <br />0 <br />= <br />F <br />a <br />;amp <br />Location Description <br />Date <br />Time <br />� <br />$ <br />'� <br />p <br />Num <br />Sampled <br />SampledET- <br />a <br />oa <br />ca O <br />a <br />1 <br />'w <br />ZZ <br />Lk' -Z,3 <br />G <br />DW <br />Sub -3 <br />f—t <br />temarks: <br />Relin ui ed Date: Time: <br />te: Time: Relinquished Date: Time: <br />Relinquished D[J9 <br />, - �t;4a1i�.> <br />15 11 OD <br />Rec ed B)': Date: Time: <br />Received By: Date: Time: Received By: Date. Time: <br />Y'1 4L�' <br />1v I ,'r�ilA <br />6� ml�lln- <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />