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FCL <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Cwy (2 of 3) <br />,Corporate Offices & Laboratory <br />35731:08/02/2021 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <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 />.1 <br />Atte; Michael Kith <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205cd <br />3 <br />0 <br />Phone: (209)468-3444 Fax: <br />w <br />Contact Person: Michael Kith <br />Project Name: <br />t7 <br />a <br />ro <br />T <br />Purchase Order Number: <br />O <br />Quote Number: <br />`" <br />U <br />o <br />Z <br />T <br />Sampler(s)0 <br />O <br />a <br />Sampling Fee: Pickup Fee: <br />c <br />a <br />c <br />Compositor Setup Date: / / Time: /_ <br />E—°'nC <br />z <br />p <br />a <br />tAct <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />.6 <br />w <br />0 <br />a <br />?? <br />0. <br />F <br />P4 <br />0 C7 <br />SampDate <br />Time <br />Num <br />kation Description <br />Sampled <br />Sampled <br />1 <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Daa: Dime: <br />Relinquished Da e: Time: <br />Relinquished Date: Till) <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 />