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CHAIN OF CUSTODY <br />_ <br />Special <br />p www.fgUnc.com <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists Field Copy (3 of 3) <br />C .. <br />IIIII ',1111 <br />Office & Laboratory <br />35731:08/02/2021 <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />TEST DESCRIPTION <br />Stockton, CA 95215 <br />- See Reverse <br />side <br />for Container, <br />Preservative <br />and <br />Sampling <br />information <br />Client: San Joaquin County EHD <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: San ioaquin Co. Environmental Health Dep <br />Watgr Quality Division <br />a <br />Attw Michael Kith <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Phone: (209)468-3444 Fax: <br />C7 <br />A <br />x <br />Contact Person: Michael Kith t <br />Q <br />a <br />11 f t: ; ,. ; <br />Project Name: t {7�.1 � � � � i f <br />C7 <br />W <br />:: <br />� <br />o <br />(n <br />� <br />3 <br />� <br />r <br />Purchase Order Number: <br />a <br />Quote Number: <br />0 <br />o <br />o <br />w <br />cn <br />a <br />z <br />g <br />> <br />E <br />O <br />U <br />Q <br />Sampler(s) <br />U <br />* <br />x <br />p <br />:- Sampling Fee: Pickup Fee: <br />5 <br />" <br />o <br />Q <br />.. <br />-• Compositor Setup Date: / / Time: / <br />d <br />^ <br />0 <br />O <br />n <br />w <br />Lab Number: STIP 3-17919 <br />o <br />a& <br />0 <br />w <br />0 <br />ii <br />u" <br />H <br />> <br />oep � <br />5amp Location Description Date Time <br />Sampled Sampled <br />K <br />ocd <br />'ro <br />Num <br />E <br />p <br />Fq p <br />v� <br />1 <br />G <br />DW <br />Sub-3 <br />Remarks: <br />Relinquished <br />Date: <br />Time: <br />Relinquished <br />Date: <br />Time: <br />Relinquished <br />Date: Time: <br />Da Time: <br />Received By: : <br />Received By: Date: Time: <br />Received By: Date: Time: <br />f <br />�71 <br />w ov--, <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 />