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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fglinc.com <br />Field Copy (3 of 3) <br />� <br />Office & Laboratory <br />3;731:11$ <br />U' <br />'U_I <br />853 Corporation Street <br />2500 Stagecoach Road <br />I LS I uL.ul <br />Nll 1IQ\ <br />Sec Re%crx <br />>id, <br />I'll )nt:uncr, <br />ric,ci,.iti�L <br />enJ <br />. ewlui, <br />I <br />ut am.utui <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 />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />— <br />Attn: Michael Kith <br />v <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />n, <br />Phone: (209)468-3444 Fax: <br />v <br />Contact Person: Michael Kith <br />cu <br />¢ <br />pE <br />Project Name: <br />� <br />x <br />Purchase Order Number: <br />4 <br />a <br />Quote Number: <br />o <br />x <br />¢ <br />vi <br />O <br />V <br />a <br />w <br />E <br />a <br />E <br />_ <br />F» <br />w <br />Sampler(s) <br />V <br />y <br />v) <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: / / Time: / <br />n <br />z <br />O <br />x a <br />v <br />a <br />W <br />Ln <br />E <br />C <br />O <br />r <br />Lab Number: STK 3-17919 <br />c <br />% <br />ii <br />o <br />q <br />ro j <br />-S <br />n <br />Samp <br />Location Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />p <br />p -E <br />I <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Unite: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <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 />