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_= CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> e Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> IIIIIIII'IIIIIIIIIIIIi�IIIIIIIIIIIIIIIIII�Illllllllllll��l i 35731.08/022021 TEST DESCRIPTION - See Reverse side for Container,Preservative.and Sampling information <br /> Client: San Joaquin County EHD <br /> h-(°er Cntr Tnannin Co Fm,irnnmental Health t)rn I <br /> Water Quality Division <br /> Attn: Michael Kith u; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> c. <br /> v <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kith <br /> Project Name: w �\ vWi cc <br /> a/ <br /> Purchase Order Number: 1 U w 3 v <br /> p; w Q a� O <br /> Quote Number: o U <br /> E <br /> Sampler(s) c wCIO) z T A <br /> V d to a <br /> o O y g <br /> Sampling Fee: Pickup Fee: 5 a o <br /> •� C Q <br /> Compositor Setup Date: / / Time: / �, z O o4 a w <br /> -- -- to <br /> Lab Number: STIP 3-17919 0 w ii �> <br /> oE_ � 0 <br /> Samp Location Description Date Time To U U.9 c E <br /> Num Sampled Sampled E. a m m O d <br /> I G DW Sub-3 <br /> Remarks: Relinquished Dare: Time: Relinquished Date: Time: Relinquished Date: -1 inic: <br /> Received By: Date: I tine: 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 />