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ENVIRONMENTAL --AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy t_2 of 3) <br />Corp rate 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 />-------------------- <br />i <br />111111111111111111[I'6IILI1I'll JI IIIII;II,L,111 <br />Phone: (530) 343-5818 <br />3;731:08102 <br />Phone: (559) 734-9473 <br />2021 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />ILSI DLSCRIYI10-N <br />Fax: (559) 734-8435 <br />See Rc\cr,e,iJc <br />1,11 C11nt:u110r. <br />I'rC,LI <br />.111\CMid <br />Sa[nhl11W' <br />inl0nualnm <br />(lent: San Joaquf.n County EHD <br />ddress: San Joaquli Co. Environmental Health Dep <br />Water Quality Division <br />a <br />Atm: Michael Kith <br />3 <br />g <br />P-4 <br />1868 East Hazelton Ave. <br />g <br />Stockton, CA 95205 <br />Phone: (209)468-3444 Fax: <br />c3 <br />a <br />3 <br />Contact Person: Michael Kith <br />Q <br />12 <br />J �_ -Lour 1.1 <br />Project Name: 3 — v <br />C7 <br />En <br />Purchase Order Number: <br />4 <br />> <br />a <br />Quote Number: <br />A' <br />U <br />W <br />a <br />Z <br />ay�i <br />E" <br />O <br />PUC <br />A <br />Sampler(s) II '' <br />*vWi <br />* <br />P-4 <br />v <br />Sampling Fee: Pickup Fee: <br />°P4 <br />c <br />v <br />Compositor Setup Date: / / Time: ! <br />C. <br />E° <br />z <br />O <br />z <br />o <br />w <br />�j <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />0 <br />E- <br />a0 <br />007 <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />F, <br />o <br />a. <br />PP <br />PPO <br />7 0 <br />v� v <br />1 <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Dale: Time: <br />Relinquished Date: Time: <br />Relinquished Dale: Time: <br />ReceiNed By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corp rate 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 />