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- = CHMN OF CUSTODY <br />-- _ - Special www.fglinc.com <br />ENVIRONMENTAL AGFUCULTURAL <br />Analytical Chemists Field Copy (3 of 3) <br />lllllilulll1ll 11 11 millullilruilll111111 lli <br />35131.08 <br />02,20_'1 <br />11 J I l)LJC'Klll <br />I r, <br />lce Ke <br />Ct e „�Ir <br />t,a ( <br />nci, 1',ueneu <br />e nd <br />Jeutl?Iut <br />uiiurmau,ut <br />i -- <br />- <br />'lien[: San Ooaquin County EHD <br />T-- <br />Address: Sant3oaquin Co. Environmental Health Dep <br />Watsr Quality Division <br />t <br />Atm: Michael Kith <br />3 <br />I <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />a <br />?hone: (209)468-3444 Fax: <br />* <br />a <br />3ontact Person: Michael Kith <br />Q <br />?roject Name: I - <br />v� <br />?urchase Order Number: <br />n" <br />W <br />lu <br />a <br />O <br />2uote Number: <br />°2 <br />o <br />p( <br />w <br />d <br />a <br />�S- <br />6 <br />> <br />Q <br />Sampler(s) <br />U <br />O <br />on <br />A <br />w <br />p <br />Ei <br />Sampling Fee: Pickup Fee: <br />E <br />; <br />c <br />Compositor Setup Date: _!_/_ Time: _/_ <br />8 <br />p <br />z <br />O <br />o <br />w <br />Lab Number: STK 3-17919 <br />o <br />o <br />w <br />0 <br />ii <br />Q. <br />F. <br />. <br />U <br />p� <br />amp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />� <br />T <br />f- <br />o <br />a <br />W <br />w <br />E <br />Ion O <br />90 <br />v) v <br />I <br />G <br />DW <br />Sub -3 <br />temarks: <br />Relinquished Date: Time: Relinquished Date: Time: <br />Relinquished Date: fink: <br />Received By: Date: Time: Received By: Date: Time: <br />Received By: Dale: Time: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />