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Cin OF CUSTODY <br /> Special <br /> ENVIRONMENTAL <br /> www.fgUnc.com <br /> pAnalytical Chemists Laboratory Copy (1 of 3) <br /> ILII I I I IIIIIIIH� II I 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division j <br /> Atm:Michael Kith <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3444 Fax: c� <br /> V w 5 N <br /> Contact Person: Michael Kith O <br /> Project Name:30� �•�F�- Gf' ) I � t7 to a a <br /> Purchase Order Number: U a v. 2 <br /> T > ¢ r a O <br /> Quote Number: �! p?� [;p 'g n. <br /> E <br /> Sampler(s) 7CfL C'( 1143331-06, U y v � 0 A <br /> i a N <br /> o O g <br /> Sampling Fee: Pickup Fee: .5 v 'o m <br /> Compositor Setup Date: / / Time: /_ o. Z O M,5 <br /> o, w <br /> -- <br /> Lab Number: 3-17919 `o rn 01 I"j <br /> Sam Date Time �S v 'L — v 0— <br /> Num Locadonescr <br /> Description Sampled Sampled F a' m" m O y v <br /> 1 S�-h { Tti. 10 3tS G DW Sub-3 <br /> Remarks: W f 0oq Z S p O Relinquished Dam: Tri : shed ate: Time: Relinquished Date: Time: <br /> V JUG 97 St- ) WZ3,h)lL //ZXZ3 /701 <br /> ltae By: D Time: Received By: Date: Time: Received By: Date: Time: <br /> 70 <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)7349473 <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 />