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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3) z <br />Corporate Offices & Laboratory <br />35731:08/02/2021 <br />TEST DESCRIPTION -See Reverse side for Antainer, <br />Preservative and Sampling <br />information <br />Client: :San Joaquin County EHID <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />ti Santa Pula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />OD Phone: 1805) 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 />Address:. San Joaquin Co. Environmental Health Dep <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />,-i <br />Attn: Michael Kith <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Phone: (209)468-3444 Fax: <br />w <br />a <br />Contact Person: Michael Kith <br />A <br />e4 <br />' <br />Project Name: ` ^.v ;� <br />v� <br />rn <br />Purchase Order Number: <br />w <br />a <br />C <br />O <br />Quote Number: <br />Q <br />z <br />6 <br />T <br />p <br />U <br />Ca <br />Sampler(s) <br />-p <br />.a <br />Sampling Fee: Pickup Fee: <br />° <br />Compositor Setup Date: _/_/_ Time: _/ <br />a <br />E <br />0 <br />�, <br />Z <br />O <br />x <br />c <br />w <br />Lab Number: STK 3-17919 <br />0 <br />a <br />a <br />cc <br />M j <br />0 <br />0 <br />H <br />AGO <br />DC7 <br />Samp <br />Location Description <br />Date <br />Time <br />T <br />o <br />c E <br />Num <br />Sampled <br />Sampled <br />0 <br />F <br />a <br />a1 <br />w O <br />rn "r <br />I <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: I ime: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Dare: I 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 />ti Santa Pula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />OD Phone: 1805) 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 />