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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHM OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3) y <br />ro G <br />R, <br />Office & Laboratory_ <br />35731:08102/2421 <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />TEST DESCRIPTic <br />)N <br />-See Reverse <br />side <br />for Container; <br />Preservative <br />and <br />Sampling <br />information <br />Client: San Joaquin County EHD <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: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />.� <br />Atm: Michael Kith <br />3 <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-3444 Fax: <br />Contact Person: Michael Kith <br />a <br />A <br />on <br />d <br />° <br />E <br />Project Name: <br />Purchase Order Number: <br />U <br />W <br />O <br />Quote Number: <br />o <br />E <br />WG. <br />w <br />U <br />Sam ler(s) <br />p •r T <br />, ,�� 4 ��`� <br />V <br />* <br />�.1 <br />Sampling Fee: Pickup Fee: <br />5 <br />; <br />o <br />Compositor Setup Date: Time: /— <br />- <br />o <br />E <br />Z <br />O <br />x a <br />w <br />Lab Number: STK 3-17919 <br />0 <br />a <br />a <br />ca .. <br />p� <br />Samp <br />Location Description <br />Date <br />Time <br />° <br />O <br />�v <br />Num <br />Sampled <br />Sampled <br />>� <br />a° <br />M <br />M <br />Irn <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: I imc: <br />Received 13r: Date: Time: <br />Received By: Date: Time: <br />Received By: Dace: lime: <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 />