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F7 . CIHMN OF CUSTODY <br /> 7' ENVIRONMENIAL :�;� AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists a Lab a ry Copy (1 of 3) <br /> — <br /> 35731:08'�';?021 TEST DESCRIPTION - See Reverse side for Containe : re <br /> '§ervative and Sampling information <br /> Client: San Joaquin County EHD <br /> ddress: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Atm:Michael Kith 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 ro <br /> n. <br /> Phone: (209)468-3444 Fax: <br /> a <br /> Contact Person:�1 MichaelKithn A <br /> Project Name: 1.. t0 Z' �\✓� 0, <br /> Purchase Order Number: o <br /> Quote Number: y ¢ a <br /> 6 <br /> Sampler(s) 0 w z T Q <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: /_ z p o W <br /> Lab Number: STK , �. 3-17919 0 iZ a j <br /> lamp Date Time rs �, V '— N <br /> Num Location Description Sampled Sampled F a w° 900 ;a <br /> 1 {( 9 Q G DW Sub-3 <br /> Remarks: Re m quished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 5 til I I UD <br /> Received B Date: Time: Receive By: Date: Time: Received By: Date: Time: <br /> 5/ 21- 000 <br /> 1 1 <br /> Coroorate 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 />