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ENVIRONMENTAL = AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field ('_opy (3 4 3) <br />Corporate Offices & Laboratory <br />35731.08/02/2021 '', -EST DESCRIPTION SrC RCSer.0 ide for Container. Preserxatke and Sam�t£3ng <br />information <br />Client: San Joaq' t° ounty EHD <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />C� 9 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Address: Sati Joaquin Environmental Health Dep <br />I <br />' <br />Water Quali ,Division <br />3 <br />a '• <br />Kith <br />Att : MichH��',,eIton <br />18618 East Ave. <br />Stockton, 95205 <br />a <br />i <br />Phone: (209)468-3444 Fax: <br />tj <br />w <br />a <br />Contact Person: Michael Kith - <br />w <br />ew <br />d <br />� <br />a <br />3 <br />Project Name: <br />L <br />Purchase Order Number: Ar 6� 1, <br />x <br />3 <br />ca G <br />Quote Number: <br />o <br />a <br />a <br />z <br />E <br />T <br />E= <br />p Q <br />Sampler(s)0 <br />ao <br />0 <br />Sampling Fee: Pickup Fee: <br />E <br />d <br />o <br />Compositor Setup Date: / / Time: / <br />--- -- <br />v� <br />Q <br />E <br />z <br />O <br />x o w <br />o •� <br />Lab Number: STK 3-17919 <br />0 <br />�% <br />a <br />a <br />� > <br />0 <br />v <br />0 <br />T <br />a? <br />o <br />a <br />ao o� <br />o <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />F. <br />a <br />W <br />M O rn a <br />i <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date. Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />