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E-IMVIRONMEIyTAL AGRICULTURAL Analytical Chemists S ecial CHAiri OF CUSTODY P www.fglLnc.com Customer Copy (? of 3) IIIIIIIIIII� III IIIIIIIII IIIII IIIIIIIIIIIIIIIIIII IIII 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information _ Client: San Joaquin County ERD 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, CA 93291 Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Phone: (805) 783-2940 Phone: (559) 734-9473 Address: San Joaquin Co. Environmental Health Dep Fax: (209) 942-0423 Fax: (530) 343-3807 Fax: (805) 783-2912 Fax: (559) 734-8435 Water Quality Division 3 a °� Atm: Michael Kith 1868 East Hazelton Ave. Y 'Z Stockton, CA 95205 3 Phone: (209)468-3444 Fax: w x Contact Person: Michael Kith A d Project Name: ^`—�` �` 3 7 Purchase Order Number: U w a a T O Quote Number: o x Q z > H O 0. U � A Sampler(s)& 0 o z cn a Sampling Fee: Pickup Fee: 0 Q Compositor Setup Date: f / Time: / a p z O x a w Lab Number: STK 3-17919 0 Samp Location DescriptionT Date Sampled Time Sampled o 0 5 'S 7 F- Num t. a ca m 0 60 It G DW Sub -3 Remarks: Relinquished Date: lime: Relinquished Date: Time: Relinquished Dale: l'imc: Received liy: Date: I imr: Received By: Date: Time: Received By: D❑tc: Time: j Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, CA 93291 Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Phone: (805) 783-2940 Phone: (559) 734-9473 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