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FQL CMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Laboratory Copy (1 of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION - `See Reverse side for Container.Preservative and Sampling information <br /> Client: San Joaquin County END <br /> Address: San Joaquin Co. Environmental Healtli^Dep ! <br /> Water Quality Division •- <br /> Atm: Michael Kith 3 a <br /> 1868 East Hazelton Ave. P <br /> Stockton,CA 95205 <br /> a" <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: �tMichael Kith E.���vl. 15 <br /> Project Name: `� `7j '~Y ,W W r° <br /> Purchase Order Number: U m C Oc <br /> Quote Number: a ¢ E V <br /> Sampler(s) E tiH O p <br /> Sampling Fee: Pickup Fee: E <br /> Compositor Semp Date:_/_I Time: Z p cv <br /> n E ii H <br /> Lab Number: STK � 0 3-17919 96 <br /> Samp Date Time $, 'g 'i, `o ow <br /> Num Location Description Sampled Sampled F a rB m O h a <br /> I \t� 'V• G DW Sub-3 <br /> Itcnr.�rkz: Relinquishe Date: Time: Relinquished Date: Time: Relinquished Date: 'time: <br /> � 2(P tiZ IZU� <br /> Received By: Dat : Time: Received By: Da Time: Received By: Date: Time: <br /> k tics �2 n� <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)7349473 <br /> Env Fax:(805)5254172 1 All Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />