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t; <br />ENVIRONMENTAL''==R _ - AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />L&boratory Copy (1 of 3) <br />111 J[E� RE IIII y <br />3;731•(8;02.2021 <br />11 11 111.x RI1'1ION Sce Re\crac >idc Dor C o nLinit i, Prc�crcau-, and Saml'ding inl,)Itttallon <br />Client: San Joaquin County EHD <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 />Address: San Joaquin Co. Environmental Health Dep <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 />Water Quality Division <br />3 <br />Attn: Michael Kith <br />1868 East Hazelton Ave. <br />Stockton, CA 95205lu <br />3lu <br />a <br />Phone: (209)468-3444 Fax: <br />x <br />Contact Person: Michael Kith <br />Q <br />•L qn <br />Project Name: �1 �w <br />c� <br />w <br />g <br />x <br />3 <br />T <br />Purchase Order Number: <br />V <br />w <br />w <br />¢ <br />,- <br />v <br />CL <br />c <br />Quote Number: <br />Q <br />E <br />w <br />z <br />�' <br />E <br />O <br />a <br />Ca <br />Sampler(s) <br />Sampling Fee: Pickup Fee: <br />— <br />Compositor Setup Date: / / Time: _/ <br />a <br />E <br />0 <br />a <br />E <br />❑ <br />z <br />a_ <br />a� <br />O <br />a <br />o a <br />x a <br />o� <br />M <br />Q <br />w <br />M j <br />Lab Number: STK <br />3-17919 <br />0 <br />0 <br />E- <br />CL O <br />) O <br />Samp <br />Location Description <br />Date <br />Time <br />Q <br />'� U <br />D <br />Num <br />Sampled <br />Sampled <br />v <br />FT <br />a <br />wcd <br />M O <br />I <br />W �'\, i�14 <br />L <br />\ ',`v <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relin uis Date: Time: <br />Relinquished Date: Time: <br />1� .I\t'fog <br />1 (� it '-Iry <br />Received B Date: Time: <br />Rec ved BY Date: Time: <br />Received By: Date: Time: <br />I >� Z2 t5a <br />hcq 1 I 10 t'tl I 10 <br />Corporate Offices & Laboratory <br />Office & Laboratory_ <br />I <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 />