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FAC <br /> CHAIN OF CUSTODY <br /> • Special www.fgUnc.com <br /> fit' Laboratory Copy (1 of 3) J <br /> 5731:08/0212021 TEST DESCRIPTION - See Reverse side for, ontainer,Preservative and Sampling information <br /> 'r <br /> :d <br /> Client: .San Joaquin County EHD '� ':•c ' .., <br /> Address: San Joaquin Co.,Environmental Health Dep ;' Y <br /> Water Quality Division <br /> Attn:Michael Kith <br /> 1868 East Hazelton Ave. h r• <br /> Stockton,CA 95205 <br /> Phone: (209)468-3444 Fax: W <br /> Contact Person: Michael Kith Q <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: <br /> E u <br /> Sampler(s) ' E � (A O A <br /> 6VIC,vC6 �'Lri�a '� U <br /> a. <br /> Sampling Fee: Pickup Fee: n°, O a h <br /> Compositor Setup Date: 1 / Timb: / n. z p a o. w <br /> co E v� v <br /> Lab Number: STK A6 3-17919 c a 0 0> <br /> Tamp Date Time a, S — a <br /> Gn <br /> Num Location Description Sampled Sampled � F; a° at m O <br /> I t(,Cc( 5 ZZ o G DW Sub-3 <br /> temarks: Relinquished Date: Time: Relinquished. Date: Time: Relinquished Date: Time: <br /> I-IUD <br /> Received By- Date: Time: Received By: ij <br /> te: Time: Received By: Date: Time: <br /> 5 22 a$ l ZZ <br /> Corporate Offices&Laboratory Office 8: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)525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />