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FGL CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analy(ical Chemists Laboratory Copy (1 of 3) <br /> II IIII I IIII VIII III IIII��� I (IIII 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 <br /> 1868 East Hazelton Ave. m <br /> Stockton,CA 95205 3 a <br /> a" <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith <br /> Project Name/6'iy!' /v. <br /> MVV .n 2 v� <br /> Purchase Order Number:w(Y.,, ZL P w 6 a c <br /> aQuote Number: <br /> c E <br /> Sampler(s) A1&e6—A/ M h,) vWi u H 5 q <br /> va <br /> Sampling Fee: Pickup Fee: �' g <br /> Compositor Setup Date:_/_/_ Time:_/_ m y ,Zo p jiji <br /> w e $v <br /> [ab Number: STK 3 a 3-17919 o y a <br /> CD mC7 <br /> Sam Date Time � a 'a '- o O= <br /> Num Location Description Sampled Sampled � g m m O ti a <br /> I '"ki/E 7--f-d( 13,07 ?S G DW Sub-3 <br /> St <br /> Remarks: Relinquished Date: Time: Relinqu' h r Ditto: Time: Relinquished Date: Time: <br /> &c <br /> Received By: D te: Time: Receiv B ate: Tim Received By: Dale: Time: <br /> � 3 � �3 ZD ±Z0 [ 1 <br /> Coroorate Offices&Laboratory 1 ^` Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 1 1. 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/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />