Laserfiche WebLink
CHAiri OF CUSTODY <br /> Special www.fgmc.com <br /> ravAllerlawl <br />q%zoom Field Copy (3 of 3) <br /> lill l'IIIII I�IIIII 34:731:08/02/2021 TEST DESCRIPTION See Reverse side for 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 /> Atm: Michael Kith 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 —° <br /> a <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith <br /> � a <br /> Project Name: , <br /> x 3 a T <br /> Purchase Order Number: > ,t <br /> Quote Number: o a <br /> a W a E <br /> Sampler(s) o z C] <br /> * Z <br /> Sampling Fee: Pickup Fee: <br /> � c Q <br /> Compositor Setup Date: / / Time: /_ a z O a s a <br /> y W <br /> Lab Number: STK 3-17919 0 I'n a, j <br /> b o y <br /> Samp Date Time Sro ' , <br /> Num Location Description Sampled Sampled = <br /> E✓ p m m O = <br /> G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: lime: <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)734-9473 <br /> Env Fax:(805)525-4172 1 Ag Fax: (805)392-2063 Fax: (209)942-0423 Fax: (530)343-3807 Fax: (805)783-2912 Fax: (559)734-8435 <br />