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:Ir t,Im <br />ENVIRONMENTAL - AGRICULTURAL <br />Analytical Chemists <br />Special Clmrl OF CUSTODY <br />P www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />I111111111111lllllllllllllllllllliEl! Jill <br />Office & Laboratory <br />35731:08/1_''2021 <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />ILSI VLSIRII`Ilu\N <br />3442 Empresa Drive, Suite D <br />Jcc RcbCl.�e <br />�idc <br />Im C'oux:unct. <br />Prc.coau\c <br />dud <br />Sampan," <br />mll-iniunut <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />'tient: San Joaquin Counh EHD <br />address: San Joaquin Co. Environmental Health Dep <br />Water Quality. Division <br />a <br />Attn: Michael Kith <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />'hone: (209)468-3444 Fax:* <br />w <br />3 <br />a <br />Un <br />'ontact Person: hfichaet'XtIr 5k!';'>Q v`�1 <br />M <br />Q <br />_ <br />Iroject Name: <br />3 <br />v <br />T <br />'urchase Order Number: <br />U <br />w <br />$ <br />c <br />Zuote Number: <br />c. <br />v <br />w <br />¢ <br />� <br />o: <br />a <br />;ampler(s) j � %�; vC� <br />��CG <br />,��, <br />o <br />Oo <br />0 <br />iampling Fee: Pickup Fee: <br />E <br />" <br />C <br />U <br />-- <br />O E <br />< <br />¢ <br />'ompositor Setup Date: _/_/ Time: / <br />In. <br />EE <br />o <br />o <br />on <br />a <br />z <br />. <br />E <br />$O <br />. <br />a <br />t <br />w <br />j <br />a E <br />_ab Number: STK 3-7919 <br />amp <br />Date <br />Time <br />Vum <br />Location Description <br />Sampled <br />Sampled <br />O <br />C2 a <br />L j, DOk <br />G <br />DW <br />Sub -3 <br />remarks: <br />Relinquished Date: Time:utshed <br />ter Time: <br />Relinquished Date: Time: <br />R By: Da e: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Undo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />