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CHmri OF CUSTODY <br /> • . Special www.fgUnc.com <br /> Field Cops- (3 of 3) <br /> 35731:08/02/2021 TEh;T DESCRIPTION See Reverse side for Container. Preservative and Sampling; information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co;Environmental Health Dep <br /> Water Quality dvision 3 <br /> Attn: Michael Kith 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 9205 Q <br /> y <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith i „ <br /> Project Name: , T <br /> Purchase Order Number: O <br /> Quote Number: <br /> E V <br /> Sampler(s) o C-1 z > O <br /> p <br /> va <br /> c p, <br /> Sampling Fee: Pickup Fee: <br /> c o d <br /> v='u a <br /> Compositor Setup Date: / / Time:_/ z p a w <br /> Ln <br /> U <br /> Lab Number: STK 3-17919 0 V% ii a j <br /> rami Date Time n ° J U L E <br /> Num Location Description Sampled Sampled a. Gq pj p <br /> G DW Sub-3 <br /> Reks Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> T1 ar <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 />