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ENVIRONMENTAL =--= AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHMN OF CUSTODY <br />www.fglinc.com <br />Field Copy (3 of 3) <br />Corporate Offices & Laboratory <br />35731:08/02/2021 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling <br />information <br />Client: San Joaquin County ERD <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 />z <br />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />S <br />Water Quality Division <br />a <br />Atm: Michael Kith <br />3 <br />1868 East Hazelton Ave: <br />Stockton, CA 95205 <br />a <br />Phone: (209)468-3444 Fax: <br />w <br />Contact Person: Michael Kith <br />p <br />Q <br />Project Name: <br />C7 <br />W <br />o <br />a <br />3 <br />a <br />T <br />Purchase Order Number: <br />,p <br />0 <br />Quote Number: <br />N <br />o <br />a <br />d <br />Z <br />`" <br />T <br />O <br />a. <br />U <br />A <br />Sampler(s) <br />U <br />vwi <br />�r <br />_ <br />o <br />O <br />•L h <br />� <br />Sampling Fee: Pickup Fee: <br />.5 <br />n <br />❑ <br />'o <br />Compositor Setup Date: /_ Time: <br />a <br />E <br />o�•+ <br />z <br />D <br />a p <br />w <br />_/ <br />� <br />E <br />0 <br />V <br />Lab Number: STK3-17919 <br />0 <br />c <br />•5 <br />o <br />p <br />T <br />j <br />0t7 <br />8 <br />$amp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />� <br />H <br />a° <br />m <br />m O <br />p <br />.84 <br />I <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Gime: <br />Relinquished Date: Time: <br />Relinquished Date: T1111c: <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 />