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KK <br />ENVIRO1 MENTAL — AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIl`l OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />Corporate Offices & Laboratory <br />�15731:0&02i2021 <br />'11'Ji()\ Reeeise side Im-Commlier. Pre-AiiI:,..uId-Sampling III oImatiun <br />Client: San Joaquin County EHD <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <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 />Address: ;San Joaquin Co. Environmental Health Dep <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 />Water Quality Division <br />3 <br />a <br />Atm: Michael Kith <br />x <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-3444 Fax: <br />w <br />x <br />Contact Person: Michael Kith <br />Project Name: <br />� <br />Purchase Order Number: <br />> <br />Cn <br />5.z <br />T <br />O <br />Quote Number: <br />o <br />o <br />c <br />a <br />w w <br />¢ <br />z <br />>, <br />p <br />U <br />A <br />Sampler(s) <br />U <br />* <br />2 <br />� <br />a <br />o <br />p <br />.5� <br />o <br />Sampling Fee: Pickup Fee: <br />; <br />c <br />Compositor Setup Date: _/_/_ Time: _/_ <br />a <br />h <br />z <br />O <br />a <br />Vj <br />O <br />w <br />U <br />Lab Number: STK 3-17919 <br />0 <br />a <br />T- <br />j <br />„ <br />_ <br />) C7 <br />O— <br />Sam p <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />v <br />; <br />a <br />F» <br />p <br />a <br />M <br />y <br />M O <br />o <br />LO -t <br />1 <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br />Received By: Date: 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. Lindo <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 />