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Special <br />t <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Customer Copy (2 of 3) <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />Office & Laboratory <br />-_` <br />ENVIRONMENTAL <br />— - AGRICULTURAL <br />Office & Laboratory <br />Analytical Chemists <br />Special <br />t <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Customer Copy (2 of 3) <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />Office & Laboratory <br />3;731:08/02/2021 <br />Office & Laboratory_ <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />TEST DESCRIPTION <br />3442 Empresa Drive, Suite D <br />See Reverse <br />side <br />for Container. <br />Preservative <br />and <br />Sampling <br />inti>rmation a <br />'liens: San Joaquin County EHD <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 />d <br />yddress: San Joaquin Co. Environmental b:calth Oej, <br />9 <br />Water Quality Division <br />Attn: Michael Kith <br />3 <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />= <br />v <br />'hone: (209)468-3444 Fax: <br />_ <br />'ontact Person: Michael Kith <br />A <br />d <br />3roject Name: <br />= <br />x <br />'urchase Order Number: <br />> <br />3 <br />a <br />a <br />0 <br />Zuote Number: <br />¢ <br />`" <br />U <br />0 <br />o <br />o <br />z <br />T <br />A <br />3ampler(s) <br />Sampling Fee: Pickup Fee: <br />°Q <br />compositor Setup Date: / / Time: / <br />a <br />EE <br />a <br />z <br />O <br />a a <br />O <br />w <br />ab Number: STK 3-17919 <br />d <br />"H <br />o <br />vamp 25 <br />H <br />a <br />> <br />= <br />Location Description <br />mpled <br />Num <br />S <br />Sampled <br />p° <br />p <br />C) <br />I <br />G <br />DW <br />Sub -3 <br />temarks: <br />Relinquished Dmc: -Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <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 />