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CHAIN OF CUSTODY <br /> LEN fi-tr, Special f www.fgIfne.eom <br /> Analytical alemists Lab aipry Copy (1 of 3) <br /> 35731:0802/2021 TEST DESCRIPTION - See Reverse side for Containerb'reservative and Sampling information <br /> client: San Joaquin County EHD ' <br /> address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 ,� <br /> Attn:Michael Kith <br /> 1868 East Hazelton Ave. 7 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith Q i <br /> Project Name: VAn A4W le44e w y ° <br /> Purchase Order Number: O <br /> Quote Number: U <br /> .. E <br /> Sampler(s) o vWi Z ;, O Ca <br /> WDO <br /> Sampling Fee: Pickup Fee: 5 o <br /> 0A <br /> a <br /> a L. o Q <br /> Compositor Setup Date: I I Time: I E Z -f; <br /> a <br /> cc <br /> C4 E c �. <br /> Lab Number: STK 3-17919 0 a cc— .> <br /> 5amp Date Time a � u a o <br /> Num Location Description Sampled Sampled E: a° c O �n ve <br /> 1 [A;�J G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinqui led Date: Time: Relinquished Date: Time: <br /> t.tt�- <br /> 4 <br /> -7 <br /> IV, V 11, 11Z I ov <br /> Received By: te: Time: Receiv By• ate: Time: Received By: Date: Time: <br /> q/;4 z 1/LCAD <br /> Corporate Offices&Laboratory_ Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 , Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />