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CHAIN OF CUSTODY <br /> Annual www.fgUnc.com <br /> Analytical clicruists Laboratory Copy (1 of 3) <br /> 1111111111111111111111111111111 HE 11111111 F�111 35195:06/07/2021 TEST DESCRIPTION - See Reverse,ide for Comainer, Preservative and Sampling information <br /> Client: Barbara Ratio <br /> Address: 14350 S.Jacktone Rd. <br /> Manteca,CA 95336 ^' <br /> 3 a <br /> Phone: (209)321-0830 Fax: 3 <br /> v <br /> Contact Person: Barbara Ratio <br /> Project Name: Water Quality Monitoring <br /> Purchase Order Number: <br /> vi m h <br /> U W <br /> Quote Number: 3� rn v a <br /> v > ¢ N a <br /> Sampler(s) <br /> VV ' l.' 0E in N o <br /> Sampling Fee: Pickup Fee: 6 y O NO r, <br /> c F N OZ 9 <br /> Compositor Setup Date:_/ r Time: <br /> -- E Z O cN �Z £ m <br /> 13Sq 9 <br /> Lab Number: STK 2 3-17259 o h a �' C? m <br /> Samp Date Time E <br /> Location Description ro= <br /> Num Sampled Sample 0 — U No <br /> E <br /> 3m y <br /> I Well Qzi v Zq6 G DW I 1 X <br /> Remarks: Relinquished Date: Time: uished ppate: Time: Reba uished Date: Time: <br /> zs f 13 013 ��/7431 /7a� U � qon <br /> R d By: Date: Time: Received By: �ate: Time: Recei ed By: Date: Time: <br /> ��a� /�08 12r01;)1( <br /> Corporate <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)734-9473 <br /> Env Fax:(805)525-0172/Ag Fax: (805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />