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CHMN OF CUSTODY <br /> ENVIRONMENTAL FQL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION - See Reverse side`.i'or Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Michael Kith <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a <br /> v <br /> Phone: (209)468-3444 Fax: a <br /> 7 n <br /> Contact Person: Michael Kith � 8 <br /> Project Name: 1 Vt61llJ(W4l0(�frr° <br /> Purchase Order Number: u > aeo a o <br /> Quote Number: <br /> E tWi1 °i a A <br /> Sampler(s)� <br /> µ ca <br /> Sampling Fee: Pickup Fee: e P99 y g <br /> Compositor Setup Date:_/_/_ Time:_/_ E o z p ji <br /> a w <br /> h <br /> Lab Number: STK 3-17919 `o rn T .. mj <br /> e o F a — <br /> Strop Date Time -5 � S '� '� e, a E <br /> Num Location DescriptionSampled Sampled ck p y v <br /> 4-2–Z �D.GIj G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquis d ate: Time: Relinquished Date: Time: <br /> �s�i� SlZ2 �t�:� 2x 8/1 ; IMOD <br /> Received B Date: Time: Receiv By: ate: Time: Received By: Date: Time: <br /> $ 1 2Z Ib55 $ ! 71L 176D <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)7349473 <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)7348435 <br />