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S eel I CHMN OF CUSTODY <br /> p www.fglinc.com <br /> Aiialytical Chemists Laboratory Copy ( I (if'_�) <br /> iIIIIIII IiII IIi.I II IIIIi IIIIII IMI VIII VIII iI illi 111 <br /> 3;"31a18 11? 2021TEST DE6(7RIPTION See Rc%cum <br /> rsc gide h,r("naer. I'rc,eiuui.e and Sal III)m� uu <br /> l0r,::an <br /> ti, <br /> Bent: San Joaquin County PHI) <br /> ,\ddres�: San J„aquui('". Lnvirc#lmental Health Dep <br /> Water Quahrn Dl%mon� - <br /> Attn: Michael Kith <br /> 1868 East Hazelton Ave. — <br /> Stockton,CA 95205 3 <br /> v <br /> Phone: (209)468-3444 Fax: <br /> ,ontact Person: Michael Kith 'v <br /> Project Name: Zfj�l �L lx� — <br /> Purchase Order Number: w 3 ; n c <br /> v > <br /> Quote Number: <br /> r c U <br /> Sampler(s) iX <br /> Sampling Fee: Pickup Fee: =' ° <br /> _ — <br /> Compositor Setup Date: / / Time: <br /> Lab Number: STI{ 19 <br /> 3-17919 o 0 t> <br /> i;unp Date Time <br /> Num Location Description Sampled Sampled m' OC) Z 4 <br /> G DW Sub-; <br /> 2emarks: Rel squished , Date: /�ime: Relinquished Date: Time: Relinquished Date: Time: <br /> y � <br /> V 4--1 <br /> Received B D'te: Time: Received By• ate: Time: Received B): 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 />