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ENVIRONMENTAL` — AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />CustomeCI)py (2 of 3) <br />Corporate Offices & Laboratory <br />35731:08;112r20211 TEST DESCRIPTION - See Reverse side for Container. PreservAiv�and Sampling information <br />-lient-. `' San Joaquin County EHD <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />kddres&San Joaquin Co. Environmental Health Dep <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />9 Water Quality Division <br />;'Attn: Michael Kith <br />y <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3v <br />a <br />?hone: (209)468-3444 Fax: <br />x <br />-ontact Person: Michaet, Kith <br />vA <br />2 <br />?roject Name: V <br />?urchase Order Number: <br />> <br />T <br />Zuote Number: <br />U <br />a <br />E <br />w <br />w <br />z <br />E <br />F~ <br />00 <br />m <br />q <br />Sampler(s)z <br />U <br />* <br />= <br />W)i <br />o <br />a <br />O <br />•a vai <br />,� <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: /_/ Time: /_ <br />E <br />�, <br />z <br />p <br />x a <br />w <br />rr <br />Lab Number: STK 3-17919 <br />0 <br />-S <br />42 <br />�, <br />a <br />i <br />c. <br />R <br />j <br />E <br />'amp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />E: <br />a <br />rA <br />, _ <br />W O <br />rig 4 <br />G <br />DW <br />Sub -3 <br />temarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />