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ML Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL <br /> www.fglLnc.com <br /> AnalyLical Chemists Laboratory Copy (1 of 3) <br /> II IIIIIIIII�II I IIIIIII I ul IIIIIII I NI 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Atm: Michael Kith 1A <br /> toc East H 952lton 5 WQV1031 3 u <br /> Stockton,CA 95205 Vim+ A <br /> a <br /> z <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kit`h911 2 ¢, <br /> Project Name: <br /> m <br /> Purchase Order Number: to <br /> U w $ <br /> �q„, 2 <br /> Quote Number: v � 'o a a E V <br /> 6 <br /> Samplers) U V, u N O q <br /> \ v 'V lY'11,tnp�'(y�r1h IL <br /> Sampling Fee: Pickup Fee: E D <br /> iy a `w o a 6 <br /> Compositor Setup Date: _/ /_ Time: z p x w w <br /> u E 0h o <br /> Lab Number: STK I 3-17919 `o y y^ aoa, u m> <br /> liw� (7 <br /> S0— <br /> amp Date Time 5 c u u fi E <br /> Num Sampled Description Sampled Sampled :50F n° to Nm r'n a <br /> 1 w I 2� 1 l9 g' G DW I Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Time: Relinquished Date: Time: <br /> LZ kgvo <br /> Received By: Date: Time: Receiv I <br /> / Time: Received By: Date: Time: <br /> 31 Z3 156D 110 <br /> Coroorate 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)525-4172/All Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />