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ENVIRONMENTAL = AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� <br />{' IIIIIIIIIIII : <br />35731:08/02/2021 <br />L._tSC'RIPTION See Re%erse side foi Container. Preen ati%e and SanVlingint�f station <br />Client: San JoaquinCounty' HD <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />` <br />Address: San Joaquin Co. Ennmental Health Dep. <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Divisilij-1 <br />Attn: Michael Kith <br />1868 East Hazelton Aye. ; <br />Stockton, CA 95205'" <br />3 <br />R <br />Phone: (209)468-3444 Fax:CIO <br />W <br />� <br />Contact Person: Michael Kith <br />rA <br />eo <br />Q <br />Project Name: �- <br />3�1� LPsSt+ <br />C7 <br />W <br />. <br />B <br />o <br />n <br />Purchase Order Number: <br />a <br />O <br />Quote Number: <br />Q <br />Cz' <br />z <br />O <br />U <br />A <br />Sampler(s) <br />rw <br />T <br />Sampling Fee: Pickup Fee: <br />0 <br />0 <br />Ca <br />Compositor Setup Date: _/ / Time: _/_ <br />a <br />r/] <br />o <br />K <br />E <br />r% <br />z <br />a <br />p <br />a: <br />ii <br />w <br />CF <br />> <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />— <br />H <br />a <br />C7 <br />p <br />Sam <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />0 <br />O <br />�w <br />ra <br />OG <br />W)0 <br />G <br />DW <br />Sub -3 <br />Remarks: <br />elinquished Date: Time: <br />elinq ' hed Da Time: Relinquished Date: Time: <br />\Ivo 1v)zN io5 <br />� -, 1-7C <br />ived By: Date: Time: <br />Received By: Date: Time: Received By: Date: Time: <br />& <br />Ag� (W <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 />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 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 />