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A <br />ENVIRONMENTAL -- AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUne.c6ni <br />Customer Copy (2 of 3) <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />35731:08/02/2021 <br />TEST DESCRIPTION ;4'See R,: erre side for Container. Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental HealthADep <br />Water Quality Division <br />3 <br />0. <br />Atm: Michael Kith <br />1868 East Hazelton Ave. <br />g <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-3444 Fax: <br />Contact Person: tchael Kith <br />Project Name: � fir, <br />� <br />rA <br />Purchase Order Number: 1 <br />U <br />� <br />3 <br />� <br />a <br />T <br />Quote Number: <br />o <br />o <br />W <br />� <br />a <br />z <br />Y <br />F <br />o <br />as <br />A <br />Sampler(s) <br />1 <br />('0U <br />* <br />N <br />C4 <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: Time: <br />E <br />z <br />O <br />¢ <br />w <br />_/_/_ _/_ <br />Lab Number: STK 3-17919 <br />0 <br />d <br />G <br />o <br />°' <br />ii <br />V <br />a <br />FO <br />�. <br />04 <br />'� <br />�°C7 <br />p <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />a <br />m <br />m O <br />n v <br />i <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />e <br />Received,By;, Date: Time: <br />Received By: Date: Time: <br />Received By: Date: llnre: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 1 Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />