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CHAIN OF CUSTODY <br /> FGL Special www.fgUnc.com <br /> Laboratory Copy (1 of 3) <br /> 1111 milli MMI-IFE1111011 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EIHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division j <br /> Attn:Michael Kith 04 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 _° <br /> Phone: (209)468-3444 Fax: * a; <br /> Contact Person: Michael Kith r n , G A Q <br /> Project Name: l�lJ c)6-:7 C� 5 tai' C� k n Cn Cd v, CC <br /> «- <br /> Purchase Order Number: W Q d 0qq Z"1 q ; ew W a <br /> 0 <br /> Quote Number: o ¢ `✓ CIO <br /> o. .. 8 <br /> Sampler(s) rf ���� ' /' c in Z O A <br /> Nr <br /> a. o <br /> Sampling Fee: Pickup Fee: _ °� O 0 1 v "' <br /> Compositor Setup Date: I I Time: ! a z 0 a W <br /> v� E c� ^, <br /> Lab Number: STK '� r 3-17919 o w a, a. .. <br /> c o E• a C7 <br /> Samp Date Time -S ;, E <br /> Num Location Description Sampled Sampled F, a° mcd mm O <br /> 1 (1 ZV jq 4, G DW -51nb-3 <br /> t <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> AUoot. tiro 231 Z � C S 1142 119 <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> ly!.) <br /> 1-ZC2:3610S --M <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 Ave —5 <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)525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />