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IML CHAIN OF CUSTODY <br /> • . __- Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> IIIIII IIIII�IIIIIIII'IIIIIIIIIIIIIIIIIIIIII'I'IIIIIIIIIIIII 35731:08/02/2021 TEST DESCRIPTION - See Retrse side 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 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-3444 Fax: w h <br /> Contact Person: Michael Kith Q <br /> � <br /> Project Name: C = /— ��f ` �' '`—r W ? o <br /> a T <br /> Purchase Order Number: <br /> Quote Number: <br /> U <br /> Sampler(s) o z T p q <br /> o O (n o <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/ Time: / E —°'o z <br /> Lab Number: STK 3-17919 0 -1 w c a cc j <br /> o ° = F• a. p <br /> Samp Date Time 6 Q '� n <br /> Num Location Description Sampled Sampled 0 H per° p e4 p <br /> 1 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 1 Ag Fax:(805)392-2063 Fax: (209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />