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FGL Special CHAIN OF CUSTODY <br /> • P www.fgWec.com <br /> Aii�jktical Chemists Laboratory Copy (1 of 3) <br /> I I J <br /> (" 35731:08/02/2021 TEST DESCRIPTION See verse side for Container,Preservative and Sampling information <br /> Client: San Joaquin Counts EHD <br /> Address: San Joaquin Co.Environmental Heallh Dep <br /> Water Quality Division ,j <br /> Atm: Michael Kith <br /> 1868 East Hazelton Ave. °�' <br /> Stockton,CA 95205 1� t <br /> a <br /> v <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kith a y Q <br /> .. .a Qo ta),LctcS�'Cvu� <br /> Project Name: tvQ44S� � <br /> a T <br /> Purchase Order Number. i,o Ut> N a t7 <br /> w Q ti <br /> Quote Number: K o. <br /> Sampler(s) / /sr�r E w z °sn p q <br /> Sampling Fee: Pickup Fee: E W <br /> c a, �5 Q <br /> Compositor Setup Date:_/_/_ Time: <br /> p y E n u <br /> Lab Number: STK 3 /� 3-17919 `o ye�o> <br /> o `o <br /> lamp Date Time s o H 0'� <br /> Num Location Description ,.S,a1mpled Sampled a°, m p W a <br /> 1 i.V- � �'1�.12 ('�.o� G DW Sub-3 <br /> ( �n IN. f,aw5k l <br /> Remarks: Relin ui ate: Time: hed 7 Date: Time: Relin uished Date: Time: <br /> q 11�r' 1505 e u fis �/ ZOa !- 1706 q <br /> R—. Date: Time: Received By: / Date: Time: Received By: Date: Time: <br /> ?/tea /52 5ry/ /baa !-0- 0 <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)52541721 All Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />