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S ecial CrlmrI OF CUSTODY <br /> *';:ENVIRONMENTAL -- AGRICULTURAL P www.fgUnc.com <br /> Analytical Chennists Field Copy ti3 of 3) <br />' <br /> 357314 > > TEST DESCRIPTION See Re%erse side t� Cont, r. Pre, r%ative and Sampling information <br /> 7;1-V: !02/_0..1 <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health.Dep <br /> Water Quality Division <br /> Attn:Michael Kith y <br /> 186,8 East Hazelton Ave. j <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3444 Fax: a <br /> Contact Person: Michael Kith Q S <br /> Project Name: <br /> x 3 a T <br /> Purchase Order Number: <br /> �k ii1`h1V (J L2 w ¢ a <br /> Quote Number: 52 <br /> o a U <br /> E W o. a Q <br /> Sampler(s) r. o v� z t";>, O <br /> Gn <br /> Sampling Fee: Pickup Fee: <br /> 0 <br /> . 5� <br /> p <br /> —[� c v o; Q <br /> Compositor Setup Date: / / Time: / �, z p a4 a w <br /> --- cd E a� <br /> 0 <br /> lo <br /> Lab Number: STK 3-17919 0 a o .. > <br /> 3amp Date Time 6 �', n E <br /> Num Location Description Sampled Sampled � a m 10 <br /> I 4 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished I)afc: I ilnC: <br /> ceived By: Date: Time: Received By: Date: Time: Received By: Date: Timc <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/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />