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CHMN OF CUSTODY <br />FQL <br />RAL Special www.fglinc.com <br />Analytical Chemists Field Copy (3 of 3) <br />I...ILL,JJLIIILLIJIIIJ,,IIf� i� ;5;31:08 02.011 <br />Client: San Joaquin Count} EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />3 <br />a <br />Attn: Michael Kith <br />y <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Q <br />Phone: (209)468-3444 Fax: <br />C7 <br />w <br />3 <br />x <br />Contact Person: Michael Kith <br />b <br />Q <br />Project Name: <br />a <br />v <br />Purchase Order Number: <br />y <br />> <br />cu <br />Quote Number: <br />o <br />a <br />o <br />a <br />Q <br />Q <br />z <br />E <br />> <br />O <br />U <br />Q <br />Sampler(s) <br />U <br />0 <br />Sampling Fee: Pickup Fee: _ <br />c <br />Compositor Setup Date: /_/_ Time: _/_ <br />E <br />Ln <br />4. <br />a, <br />E <br />co <br />z <br />OCz <br />v <br />z <br />; <br />a C <br />�n <br />C+ <br />w <br />c <br />Lab Number: Number: STK 3-17919 <br />0 <br />s <br />En <br />a <br />a <br />F <br />y <br />a <br />r <br />O <br />o> <br />O C7 <br />a E <br />n <br />Samp <br />Location Description <br />Date <br />Time <br />Sampled <br />Num <br />Sampled <br />rT <br />c% <br />oa <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 />Date: Time: ]Relinquished <br />Date: Time: lReceived 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: (Relinquished <br />Date: Time: ]Received By: <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 />Date: Time: <br />Date: Time: <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />