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FGL CHAIN OF CUSTODY <br /> ENVIRONMENTAL' AGRICULTURAL Special www.fg1inc.com <br /> Analytical Chernists Laboratory Copy (1 of 3) <br /> 35731:08/0212021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Clienr. San Joaquin County EHD <br /> Adrlrr�c Om i,r•v.min r,, Fnvirnnmrnral Hralrh Drn 1 4 <br /> Water Quality Division 3 i <br /> Attn: Michael Kith <br /> 1868 East Hazelton Ave. i <br /> Stockton.CA 95205 3 a <br /> v <br /> Phone: (209)468-3444 Fax: c7 iu 3 ti ' <br /> Contact Person: Michael Kith <br /> Project Name:V\t� N �� V w v 'o <br /> Qo���titiy 3 � v T <br /> Purchase Order Number: u w y d 2 <br /> y a O <br /> Quote Number: § w <br /> E <br /> Sampler(s) <br /> E w Z :3 <br /> a <br /> U v <br /> O V T <br /> N v, <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: z O <br /> h F� N OCF. <br /> Lab Number: STK 5 4 3-17919 o ti a <br /> `o u F C m <br /> ;amp Date Time -S a '✓✓ '>✓ u O 2 <br /> Num Location Description Sampled Sampled 2 y° p v <br /> t�sb G DW Sub-3 <br /> 3emarks: Relinquished DatN Tim pAgiaquished Da Time: Relinquished Date: Time: <br /> Receiv /y. ate: Time: Received By: Date: Time: Received By: Date: Time: <br /> �.� <br /> oAx� /2027— /7�LJ <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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)525-4172/Ag Fax:(805)392-2063 Fax: (209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />