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-3 CHAIN OF CUSTODY <br /> ENVIRONMENTAL—- AGRICULTURAL Special www.fgUnc.com <br /> Analyticfl Chemists Field Copy (3 of 3) <br /> 35731.08/02/2021 1LN1 DESCRIPTION See Reverse side tier .Container. Prexn:u ce and Samplrig mk)"I'auun <br /> Client: San Joaquin gounty EHD S `' <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 aa^ <br /> Attn:Michael Kith L, x <br /> 1868 East Hazelton Ave. <br /> ti U <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kith . t A ¢ E <br /> g` o <br /> Project Name: O Cn 0 - M <br /> Purchase Order Number: ° <br /> W � O <br /> w � � a <br /> _ a <br /> Quote Number: o U <br /> ani <br /> Sampler(s) z <br /> 0 A <br /> o ij 5a o <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / o z O a w <br /> 0 <br /> Lab Number: STK 3-179190 a a .. > <br /> o 0 F w 0 �C7 <br /> Samp Location Description Date Time " T o c o <br /> Num Sampled Sampled F a Pn as O cn <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: 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.L•indo 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 />