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Special CIHMN OF CUSTODY P www.fgUnc.com Laboratory Copy (1' of 3) i 1111111111111111111111111111111111 111�1 111111111111111 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling ENVIRONMENTAL — AGRICULTURAL Analytical Chemists Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Special CIHMN OF CUSTODY P www.fgUnc.com Laboratory Copy (1' of 3) i 1111111111111111111111111111111111 111�1 111111111111111 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information Client: San Joaquin County EHD 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 Address: San Joaquin Co. Environmental Health Dep 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 Water Quality Division 3 a Attn: Michael Kith x 1868 East Hazelton Ave. Stockton, CA 95205 3 a Phone: (209)468-3444 Fax: f 3 z U) Contact Person: Michael Kith ¢ e Project Name: � j O 'sem � `„ b on Purchase Order Number: w 3 ; a c 1Cb-0� �j�IL21 > ¢ " Quote Number: o o a z E O U Q Sampler(s) > Sampling Fee: Pickup Fee: o Compositor Setup Date: / Time: a z O p w _/ _/ b 0 E °oma > Lab Number: STK ��_ 3-17919 Samp Num Location Description Date Sampled Time Sampleddg 7S v °^ '6 m O D E �; F cn �0b G DW l Sub -3 Remarks: Relinquished Date: Time: Relitrq h Date: Time: Relinquished Date: Time: ' c �IMP 1335 eceived By: Date: Time: Received By: Date: Time: Received By: Date: Time: i33< 911� 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