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i�;73t:08 01 2021 <br />Special <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Customer Copy (2ef 3) <br />LJI Ui.JI l(Il'l IU: R.... J- nl.un:i. 1'1-11 i ;,, <br />- - - - - ---- i—`.fir-------- <br />lienr. San JoaquCount} EHD <br />ENVIRONMENTAL <br />= AGRICULTURAL <br />Analytical Chemists <br />i�;73t:08 01 2021 <br />Special <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Customer Copy (2ef 3) <br />LJI Ui.JI l(Il'l IU: R.... J- nl.un:i. 1'1-11 i ;,, <br />- - - - - ---- i—`.fir-------- <br />lienr. San JoaquCount} EHD <br />f <br />I <br />a <br />Address: San Joaquinio. Environmental Health Dep <br />Water Qualit� Division <br />3 <br />a <br />Attn: Michael Kith <br />a <br />I <br />1868 East Hazelton Ave. <br />v <br />! <br />Stockton, CA 95205 <br />3 <br />n <br />Phone: (209)468-3444 Fax: <br />w <br />3 <br />v) <br />contact Person: Michael Kith <br />b <br />A <br />x <br />d <br />Project Name: <br />o <br />a <br />Purchase Order Number: <br />v <br />3 <br />O <br />Quote Number: <br />N <br />E <br />W <br />w <br />z <br />�� <br />E <br />N <br />=� <br />a <br />a <br />Sampler(s) <br />U <br />v <br />vn <br />a <br />Sampling Fee: Pickup Fee: <br />_ <br />Compositor Setup Date: _/_/ Time: i <br />o. <br />E <br />rn <br />G <br />E <br />o <br />z <br />p <br />a " <br />a <br />o v) <br />a <br />w <br />2 <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />cn <br />a <br />0. <br />> <br />;amp <br />Location Description <br />Date <br />Sample <br />Time <br />sa <br />c <br />a <br />� <br />Num <br />r; <br />I <br />I G <br />DW <br />Sub -3 <br />2emarks: <br />Relinquished <br />Received By: <br />Date: Time: IRelinquished <br />Date: Time: I Received By <br />Date: Time: lRelinquished Date: Time: <br />Date: Time: lReceived By: Date: Time: <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue <br />Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, CA 93291 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Phone: (805) 783-2940 Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 /Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Fax: (530) 343-3807 Fax: (805) 783-2912 Fax: (559) 734-8435 <br />