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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> ENVIRONMENTAL <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> -milli 11111111111111111111111111111111111111111 IN <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 <br /> Phone: (209)468-3444 Fax: Won <br /> Contact Person: Michael Kith <br /> v ^J <br /> Project Name: <br /> Purchase Order Number: o4 <br /> O <br /> Quote Number: o V <br /> Sampler(s) o z T �? <br /> ao a O '�vai <br /> Sampling Fee: Pickup Fee: .5 ; c <br /> P P c <br /> Compositor Setup Date: / / Time: / z <br /> Lab Number: STK 3-17919 0 a a j <br /> 0 0 ?? F w� 007 <br /> Sam Date Time <br /> P Location Description o e =o <br /> Num Sampled Sampled E• a M W O con-e <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Darr: Time: Relinquished Dare: l'irne: <br /> l_- <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: I ime: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory_ <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Undo 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/Ag Fax: (805)392-2063 Fax:(209)942-0423 Fax: (530)343-3807 Fax: (805)783-2912 Fax:(559)734-8435 <br />