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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgl4lc.com <br />Customer Copy (2 of 3) d <br />IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIN <br />35731:08102/2021 <br />TEST DESCRIP'OON See Reverse side for Container. Preservative and Sampling <br />information ° <br />Client: San Joaquin County EHD <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 />Address: San Joaquin Co. Environment Health Dep <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 />a <br />Attn: Michael Kith <br />3 <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-3444 Fax: <br />w <br />3 <br />Contact Person: Michael Kith <br />Q <br />Project Name: <br />a <br />o) <br />co)T <br />Purchase Order Number: <br />tw <br />a <br />c <br />O <br />Quote Number: <br />V <br />c <br />aw' <br />w <br />vi <br />a <br />z <br />E <br />E~ <br />m <br />Sampler(s)0 <br />U <br />^' <br />a <br />o <br />p <br />Sa <br />o <br />Sampling Fee: Pickup Fee: <br />2 <br />a' <br />o <br />Q <br />Compositor Setup Date: ! / Time: / <br />c <br />z <br />p <br />o <br />w <br />--- -- <br />v3 <br />E <br />0 <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />co) <br />o <br />c <br />ii <br />a? <br />o <br />L <br />H <br />b <br />a� <br />M 6 <br />> <br />VOlamp <br />o <br />Location Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />�5 <br />F. <br />y <br />m <br />w O <br />rn "t <br />1 <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Datc: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Datc: f ime: <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 />