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=rte <br />FG°L <br />LNVIliONMENTAL —:: �GfZ�Cu�:rl_i�`;1L <br />rlutilt'IIC+I l:hri n i�(ti <br />Special CHAIN OF CUSTODY <br />P www.fglinc.com <br />Laboratory Copy (I of 3) <br />11J1Ih111i11o[ lL1 11 Jl lilt <br />3;731.08,0' 20'1 <br />I LSI Ul:9t 1<II'I 10\ JLC 1<L�LIxt ,kh: i.n l IMIJI I. 1'i:.ci,.+i ,..ui l J,+mlilnia uw+rn+.+u, n <br />tient: San Joaquin County EHD <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 />ddress: San Joaquin Co. Environmental Health Dep <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 763-2912 <br />Fax: (559) 7348435 <br />Water Quality Division <br />` <br />Attn: Michael Kith <br />ac <br />1868 East Hazelton Ave. <br />y <br />v <br />F; <br />Stockton, CA 95205 <br />3 <br />a <br />hone: (209)468-3444 Fax: <br />ontact Person: Kith <br />8 <br />`Michael <br />roject Name: <br />urchase Order Number: <br />x <br />> <br />3 <br />00 <br />uote Number: <br />H <br />$ <br />U <br />a <br />En <br />¢ <br />d <br />E <br />0 <br />u <br />A <br />ampler(s) /� <br />« <br />ampling Fee: Pickup Fee: <br />w <br />'ompositor Setup Date: _!_/_ Tiime: _/_ <br />v� <br />0 <br />t <br />o <br />E <br />-a <br />4 <br />z <br />O <br />& <br />D <br />0 . <br />'a <br />w <br />O <br />ab Number: STI{ 3 17919 <br />�� , /0 <br />imp <br />Date <br />Location Description <br />Time <br />,lum <br />Sampled <br />Sampled <br />2 <br />a <br />A <br />as O <br />h 4 <br />G <br />DW <br />Sub -3 <br />emarks: <br />Relinqu1 hed Date: Time: Reltnqut ed Dote: Time: <br />Relinquished Date: Time: <br />3�z3 u 17-1 IS 17a <br />ReQ=* ed By: Date: Time: Received By: Date: Time: <br />eceived By: Date: Time: <br />a/V-2- --2- 620 n <br />Comorate 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) 763-2912 <br />Fax: (559) 7348435 <br />