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FGL <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />Client: San,ll{loaquin County EHD <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 783-2940 <br />Address: San J`,oaquin Co. Enviromnental Health Dep <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />Attn: Michael Kith <br />3 <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-3444 Fax: <br />Contact Person: Michael Kith <br />oA <br />a. <br />Project Name: <br />y <br />� <br />x <br />Purchase Order Number: <br />x <br />w <br />3 <br />a <br />T <br />O <br />Quote Number: <br />o <br />Q <br />o <br />w <br />a <br />z <br />E <br />y <br />> <br />F= <br />O <br />U <br />m <br />Q <br />Sampler(s) <br />d <br />v <br />5 <br />as <br />0 <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: / / Time: _/ <br />8 <br />V) <br />Q <br />E <br />Z <br />p <br />n <br />o� <br />Lab Number: STK 3-17919 <br />0 <br />Q <br />a_ <br />a <br />b > <br />D E <br />Samp <br />Location Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />'t <br />2 <br />p <br />v <br />I <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished <br />By: <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 />CHAiri OF CUSTODY <br />Special www.fglinc.com <br />Customer Copy (2 of 3) <br />ILSI DLSCRIPHON Sc� R, \,:I >tde 1"u Gmian1tiI. Pll '':n.w\e aIId Sauq!hn_ uu u111AU m <br />Date: Time: IRelinquished <br />Date: Time: IReceived By <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Date: Time: lRelinquished Dane: Time: <br />Date: Time: lReceived By: Date: Time: <br />Office & Laboratory <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />