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ENVIRONMENTAL =- AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />IIII III 1111111111111111p11111111111pp1111111111p1 <br />35731:08/02/ 021 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling <br />information Z� <br />Client: San Joaquin County EHD <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 />Address: San Joaquin Co. Environmentai, Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />3- <br />Atm: Michael Kith <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-3444 Fax: <br />C7 <br />w <br />Contact Person: Michael Kith �Cl�� <br />Z! <br />A <br />Q <br />Project Name: <br />C4 <br />Purchase Order Number: <br />U <br />w <br />p <br />Quote Number:o <br />U <br />rw <br />z <br />E <br />T <br />O <br />U <br />L1 <br />Sampler(s) 1 <br />Sampling Fee: Pickup Fee: <br />o <br />p <br />ga. <br />o <br />Compositor Setup Date: _/_/ Time: _/_ <br />n <br />E <br />v� <br />a <br />E <br />0 <br />O <br />a s <br />w <br />Lab Number: STK , 3-17919 <br />0 <br />•B <br />o <br />Q <br />a <br />?? <br />a <br />F <br />a <br />'U <br />j <br />C7 <br />p <br />Samp <br />Location Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />H <br />a <br />m <br />w <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquishe Time: <br />Relinquished Date: Time: <br />\I-Wo`1 1! %� <br />I r�Date: <br />Received Date: Time: <br />Rece/v��.d B D te: Time: <br />Received By: Date: Time: <br />1 Ilp Zl I ?.b <br />fJ G�i (b <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 />