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CHAIn OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analyti(,jl Chemists d Laboratory Copy (1 0 j 3) <br /> )t IN 35731:08/02/2b21 TEST DESCRIPTION See Reverse side for Crnuainer, Preservan\-: id Sampling information <br /> Clieat: San.` agtiin County EHD <br /> IAddr.ss: San aquin Co. Environmental Health Dep <br /> Wa0J Quality Division a h <br /> ,s AttiL'Michael Kith w a <br /> 186 East Hazelton'Ave. , <br /> StoCJ <br /> 4on,CA 95205 <br /> 3 u # <br /> Phone: (209)468-3444 Fax: w <br /> Contact Person: Michael Kith LeiQ <br /> Project Name: �Q�$ 104 r IAvt <br /> Purchase Order Number: ktjqv�i W157 2 a <br /> Quote Number: 1 H w ¢ `�' a <br /> E <br /> Samplers) \ U CIO z r 00Cn <br /> A <br /> p <br /> Sampling Fee: Pickup Fee: c a 7`� <br /> a c c CG Q <br /> Compositor Setup Date:_/_/_ Time: / ro o z O a s w <br /> Lab Number: STK 3-17919 o m a a mod od <br /> 0 0 H PG p C7 <br /> Samp Date Time ep <br /> t •= d E <br /> Num Location Description Sampled Sampled FT ' m O <br /> G DW Sub-3 <br /> Remarks: Relinquished Date: Time: linq 'shed Date: Time <br /> i Relinquished Date: Time: <br /> :�,, & k j3-� � %1 1-70 <br /> Received By: Date: Time: Received By: Date: Time: Received By: bate: Time: <br /> ko(ql �3�� ��/af 17a <br /> Corporate Offices&Laboratory ice&Lab Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 500 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 />