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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 />IIIlII'IIIII�II�I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIh <br />35731:08/0212021 <br />I-ES'1 DESCR&I ION See Reverse aide for Container, Preservative and Sampling intorma a <br />Client: San Joaquin County EHD t <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 />t <br />t <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 />Address: San Joaquin Co. Environmental Health Dep <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 />Water Quality Division <br />Attn: Michael Kith <br />3 <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />ro <br />a <br />Phone: (209)468-3444 Fax: <br />w <br />3 <br />Contact Person: Michael Kith <br />A <br />ba <br />_ <br />r^ ( <br />Project Name: V�W. � h�S 1 („1L �G� • L !(? 1�. <br />O <br />vwi <br />�n <br />Purchase Order Number: <br />U <br />w <br />9 <br />Quote Number: <br />«? <br />in <br />w <br />z <br />is <br />O <br />Q <br />Sampler(s)0 <br />U <br />vwi <br />T <br />Sampling Fee: Pickup Fee: <br />E <br />o <br />s <br />Ei <br />o <br />o <br />Compositor Setup Date: Time: <br />Q <br />z <br />O <br />Q <br />w <br />_/_/_ _/_ <br />h <br />0 <br />a0. <br />0 <br />m <br />Lab Number: STK 3-17919 <br />am p <br />Num <br />Location Description <br />p <br />Date <br />Sampled <br />a <br />a <br />m 0 <br />O <br />.0 E <br />r~ <br />oa <br />a <br />ZZ <br />FSamed <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />%1122 t1 ` E7 <br />Receu` ' y: D te: Time: <br />1/� 7'X,9� <br />Received By: Date: Time: <br />Received By: Date: "Dime: <br />//0-7 <br />1 <br />1 <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 />