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Special CHmri ®r UsT®DY <br /> z�-- P <br /> -leNVAONMENTAL AGRICULTURAL www.fglinc.c®m. <br /> —Analytical Chernists 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 EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division j <br /> Attn: Michael Kith <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> Phone: (209)468-3444 Fax: <br /> c? w 3 <br /> Contact Person: Michael Kith O Q <br /> Project Name: Z9 Z Q0 <br /> Purchase Order Number: V w 3 <br /> Quote Number: u; <br /> Sampler(s) <br /> o� �v E W z �' C Q <br /> 1 * � <br /> ao o O •�� o <br /> Sampling Fee: Pickup Fee: c a <br /> a v o d <br /> Compositor Setup Date:_/ / Time: E o, z Oco <br /> x a w <br /> Cn ci o v' G t <br /> Lab Number: STK �� � 3-17919 0 a a M � <br /> Samp Date Time "S o '� a 8 <br /> Num Location Description Sampled Sampled � p° p <br /> 1 t'ri 1, G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Reft'tfilRi hed D te: Time: Relinquished Date: Time: <br /> &-1�->C7-1 V�R k 1�55- <br /> eceTY: Date: Time: Received By: �/ ate: Time: Received By: Date: Time: <br /> Z"91 f IWO <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)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 />