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S ccial CIWN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> P www.fgUnc.com <br /> Analytical Chernists; Customer Copy (2 of 3) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�llllllllllllllulll,lllllllll 3;731:1171 02 2021 TEST DESCRIPTION See Reverse side for Cumainer. Preservative and Sampling information <br /> Client: San Joaquin County EHD, <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Michael Kith <br /> 1868 East Hazelton Ave. R <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3444 Fax: <br /> C7 W <br /> Contact Person: Michael Kith ¢ S <br /> Project Name: 2 -r <br /> Purchase Order Number: <br /> N w <br /> Quote Number: o E U <br /> Sampler(s) jo vWi > O Q <br /> C a <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: /_ Q z 0 fl w <br /> V] Eco <br /> C y ? <br /> Lab Number: STK 3-17919 0 ii a j <br /> 0 0 e? E~ C7 <br /> Tamp Location Description Date Time � o 9 E <br /> Num Sampled Sampled � F, a Fq 0 <br /> i G DW Sub-3 <br /> Time: Relinquished Date: Time: Relinquished <br /> Remarks: Relinquished Date: <br /> Received By: Date: Time: Received By: Date: Time: Received By: bate: I imr: <br /> Corporate Offices 8 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 />