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CH IN OF CUSTODY <br /> ENVIRONMENTALFGL Special www.fgUnc.com <br /> Analytical Chernists Field Copv (3 of 3) <br /> i' _35731:08/0212021 TEST DESCRIPTION - See Reverse side for Container.Preservative and Sampling information <br /> 111111111111111 lli IN <br /> T lien{: San Joaquin County EHD FTT <br /> . <br /> �'Odrper San Tnwmin Cn Fns irmjmenral Hralrh T)pn <br /> i <br /> Water Quality Division .� <br /> Attn: Michael Kith I a <br /> 1868 East Hazelton Ave. <br /> Stockton.CA 95205 5 <br /> 'L <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael KithLn <br /> Project Name: V) = r° ; <br /> Purchase Order Number: 3 O <br /> E y <br /> Quote Number: 11 <br /> o C4 `n U <br /> a W a v F. m <br /> Sampler(s) o z T �D <br /> V, a <br /> c <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: ! / Time: c p y w <br /> Lab Number: STK 3-17919 0 % a o ro j <br /> 'D o <br /> Samp Date Time -S a E <br /> Num Location Description Sampled Sampled ' % m m O J33 4 <br /> G DVY' Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: I 1111e: <br /> Received By: Date: Timc: Received By: Date: Time: Received By: Date: Time. <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 />