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- -= CHMN OF CUSTODY <br /> Specrlal, www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> 35731:08/02/2021 TEST DE6CRiPTION - See Reverse side for Container,Preservative and Sampling inforiilatien <br /> Si <br /> lient. San Joaquin Count}'011D <br /> Address: San Joaquin Co. Envirotmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Michael Kith _ x <br /> 1868 East Hazelton Ave. 3 6 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3444 Fax: <br /> contact Person: Michael Kith rt Q d a <br /> Project Name: ZCja o Lo �^�J � C tD 0 <br /> Purchase Order Number: U w 3 ,��, E <br /> y > bD C <br /> Quote Number: <br /> Sampler(s) to �9 z T O Q <br /> Sampling Fee: Pickup Fee: cCL °° " o <br /> Compositor Setup Date: /_/ Time: / a z O x n w <br /> E o <br /> Lab Number: STK 3-17919 0 V a n <br /> O� <br /> ;amp Date Time 7S a '� = p E <br /> Num Location Description Sampled Sampled u H a w w O i <br /> 1 ���� (� �`� �3 G DW Sub-3 <br /> 2emarks: Re' quished Date: /Lime: Relinquished Date: Time: Relinquished Date: Time: <br /> Received B Dte: Time: Receiv d BY' ate: Time: Received By: Date: Time: <br /> 411t 61C01 <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 />