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- ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />Remarks: <br />Relinquished Date: Time: <br />til %i <br />cety By: j Date: Time: Received By: <br />;2� 147 0'4� <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road 563 E. Lindo <br />Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Fax: (530) 343-3807 <br />Date: Time: Relinquished Date: Time: <br />IXF <br />` ate: Time: Received By: Date: Time: <br />-Z/Zl �aoaa- t -7 C6 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />35731:08/02/2021 <br />I GST DESCRIPTION - See Reverse side for C onuauier, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Atm: Michael Kith <br />3 <br />a <br />x <br />1868 East Hazelton Ave. <br />V <br />Stockton, CA 95205 <br />=° <br />c. <br />Phone: (209)468-3444 Fax: <br />� <br />w <br />3 <br />a <br />Contact Person: Michael Kith <br />A <br />¢ <br />a <br />Project Name: 0 6 CL' <br />w <br />aT <br />o <br />Purchase Order Number: <br />Quote Number: <br />E <br />U <br />w <br />* <br />z <br />E <br />�i <br />O <br />A <br />Sampler(s)h .� <br />/vT 5c -c k � L � <br />o <br />O <br />Ea <br />o <br />Sampling Fee: Pickup Fee: <br />c <br />Q <br />Compositor Setup Date: Time: <br />ry <br />E <br />a <br />z <br />O <br />Q <br />w <br />_/_!_ _/_ <br />v� <br />E <br />c <br />0 <br />Lab Number: STKA9I 3-17919 <br />0 <br />a <br />c <br />M— <br />M> <br />d <br />o <br />H <br />rx O <br />E90 <br />lamp <br />kation Description <br />Date <br />Time <br />-S <br />a. <br />V <br />'Up <br />Num <br />Sampled <br />Sampled <br />E'' <br />a <br />a <br />m O <br />C' <br />G <br />DW <br />Sub 3 <br />Remarks: <br />Relinquished Date: Time: <br />til %i <br />cety By: j Date: Time: Received By: <br />;2� 147 0'4� <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road 563 E. Lindo <br />Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Fax: (530) 343-3807 <br />Date: Time: Relinquished Date: Time: <br />IXF <br />` ate: Time: Received By: Date: Time: <br />-Z/Zl �aoaa- t -7 C6 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />