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Special EIYV[RO19191"N AL AGRICULTURAL Analytical Chemists "l(HtMII11fIIITIIIIIIIIIIIIIII 35731:08/02/20 Client: San Joaquin Count3 EHD i. Office & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory_ 853 Corporation Street 2500 Stagecoach Road Address: San Joaquin Co. Environmental Health Dep 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Water Quality Division Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 3 Phone: (559) 734-9473 Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Attn: Michael Kith Fax: (530) 343-3807 Fax: (805) 783-2912 Fax: (559) 734-8435 1868 East Hazelton Ave. u Stockton, CA 95205 3 n Phone: (209)468-3444 Fax: v w tx Contact Person: Michael Kith Q Q Project Name: Purchase Order Number: U W 3 in Quote Number: N c. o w x vwi ¢ z > a O a Sampler(s) , : • 'r U x D Sampling Fee: Pickup Fee:5 G o Compositor Setup Date: / / Time: / 0 o z O tx a " w E f Lab Number: STK 3-17919 bo En r a o M B o Samp Date Time Num Location Description Sampled Sampled � F. a, cc AJ O � v I G DW Sub -3 Remarks: Relinquished Date Received By: Date: I Time: IRelinquished Time: IReceived By: CHAIN OF CUSTODIA www.fgUnc.com Field Copy (3 of 3) t S Reverse stile for Container. Preservative and Sampling information Date: Time: IRelinquished Date: Lime: Dare: Time: lReceived By: Date: i into: Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory_ 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, CA 93291 Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Phone: (805) 783-2940 Phone: (559) 734-9473 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