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1. CEENVIRONMENTAL <br />FOL - AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field Copy: (3 of 3) <br />Corporate Offices & Laboratory <br />3:731:x,3 02 ?0.` : <br />TEST DESCRIPTIO' See Re�rrx gide tin' Cuntainar, Prese4`%ative <br />and Sampling inftnmatiun <br />Client': San Joaquin County EHD <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 />AddreSan Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />i <br />3 <br />Atm: Michael Kith <br />1868 East Htlzelton Ave. <br />Stockton, CA 95205 <br />3 <br />,� <br />Phone: (209)468-3444 Fax: <br />w <br />Contact Person: Michael Kith <br />A <br />d <br />2 <br />_ <br />Project Name: <br />Purchase Order Number: <br />U <br />W <br />3 <br />O <br />Quote Number: <br />ca <br />c <br />W <br />G% <br />z <br />aEi <br />F" <br />PG <br />A <br />Sampler(s) <br />o <br />O <br />•E � <br />Sampling Fee: Pickup Fee: _ <br />9 <br />a <br />C <br />; <br />c <br />Q <br />Compositor Setup Date: / Time: <br />o <br />z <br />O <br />x c <br />w <br />Lab Number: STK 3-17919 <br />0 <br />c <br />�s <br />a <br />a <br />n <br />O <br />E <br />Samp <br />Location Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />E= <br />a <br />w <br />m <br />�n <br />1 <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Datc: Time: Relinquished Date: Time: Relinquished Date: l imc: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Timc: <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 />