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Special CHAIN OF CUSTODY <br /> eNVIRONMENTAL AGRICULTURAL <br /> p www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br />_ IIIIIIIII IIIIIIIIIIII IIIIIIIIIIIIIIII <br /> 35731:08/02,2021 I ESC DESCRIPTION See Reverse >tde for Container. 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 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-3444 Fax: con, <br /> c7 w <br /> Contact Person: Michael Kith 2 <br /> a 7 G <br /> Project Name: vWi v� <br /> Purchase Order Number: 3 T <br /> 0 <br /> Y W 4 a <br /> Quote Number: <br /> a W Q. F <br /> Sampler(s) o L4 z A <br /> U * d <br /> a <br /> 0 '�� wi <br /> Sampling Fee: Pickup Fee: U 7- <br /> c � � '; Q <br /> Compositor Setup Date: / / Time: / o, z O 104 ¢ w <br /> --- -- LnE oCn <br /> Lab Number: STK : �� 3-17919 0 a o > <br /> 0 0 E• p O C7 <br /> Samp Date Time Q a — '� D E <br /> Num Location Description Sampled Sampled 0a m '5 <br /> I 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 /> 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 />