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CHAIN OF CUSTODY <br /> Special www.fgUfnc.com <br /> -ENVIRONMENTAL AGRICULTURAL <br /> Analyti(al Chemists Laboratory Copy (1 of 3) <br /> �1 E 111111111111111 Ell 11111111111111 IN 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> (Tient: San Joaquin Countv EHD t <br /> Address: San Joaquin Co. Environmental Health Dep i <br /> Water Quality Division 3 ` <br /> Attn: Michael Kith <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205CU <br /> 3 @ <br /> n <br /> Phone: (209)468-3444 Fax: <br /> w 3 <br /> Contact Person: Michael Kith Q ¢ L a <br /> Project Name: <br /> V) V <br /> Purchase Order Number: a; ; 3 c <br /> Q O <br /> Quote Number: Wo x v <br /> o, E <br /> Sampler(s) E w z <br /> Sampling Fee: Pickup Fee: c <br /> Compositor Setup Date: / / Time: / E a z p w <br /> rn E o <br /> Lab Number: STK 3-17919 0 V'O) a_ aM j <br /> Samp Date Time a 15 '' n E <br /> Num Location Description Sampled Sampled F a p <br /> G DW Sub-3 <br /> Remarks: Relinquished Date: "Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> 12 Ir� 21 11��J <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 />