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FGL <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www fgUnc.com, <br /> Analytical(Awmists b� Laboratory Copy (1 of 3) pa <br /> I�I��I�II �'�IIIIII�I�I�IIIII� II �� 35731:08/02/2021 TEST DESCRIPTION - See leverse side for Container,Preservative and Sampling information a <br /> Client Sao Joaquin County EHD <br /> i <br /> Address: San Joaquin Co.Environmental Health Dell � ( <br /> Water Quality Division I, 3 } t <br /> Atm:Michael Kith <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 3 <br /> a <br /> u <br /> Phone: (209)468-3444 Fax: x <br /> c? a 3 ti <br /> Contact Person: .�Mpiic,��hr.ael Kith f� ,....^ v <br /> Project Namo-\ q \1o(�NN (�4jj`'SOt�'� "' C7 w u <br /> Purchase Order Number: <br /> a O <br /> Quote Number: — m a <br /> v w E U <br /> Sampler(s) o w v a. O O <br /> rQ,OC� (s�0�FJ9Stl U a �; <br /> uo a oh <br /> Sampling Fee: Pickup Fee: e <br /> Compositor Setup Date:_/ /_ Time:_/_ E o, 2 O C c w <br /> A N o V <br /> Lab Number: STK 3-17919 e=�o� <br /> Samp Date Time �s p, 9 '� � ar 0— <br /> Num Location Description Sampled Sampled F ao w O ri a <br /> G DW Sub-3 <br /> Remarks: Relinquished �,t Date: \'une: Relinquished /y, Time: Relinquished Date: Time: <br /> ived By: Dare: —Time: Received By: te: Tim & Received By: Date: Time: <br /> Corporate Offices&Laboratory boratory Office&Laboratory Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite 0 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 />