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E <br />ONMENTAL AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIulllllllllllllllllllilllllllll <br />35731:08/02/2021 <br />TEST DESCRIPTION See Reverse side fo Foritainer, <br />Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />.a <br />Attn: Michael Kith <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />c <br />Phone: (209)468-3444 Fax: <br />Contact Person: Michael Kith. <br />A <br />Project Name: <br />x <br />10) <br />Purchase Order Number: <br />> <br />a <br />o <br />Quote Number: <br />a <br />a. <br />� <br />T <br />O <br />v <br />A <br />Sampler(s)z <br />V <br />0 <br />� <br />Sampling Fee: Pickup Fee: <br />.S0. <br />C <br />; <br />c <br />Q <br />Compositor Setup Date: Time: /_ <br />z <br />O <br />w <br />Lab Number: STK 3-17919 <br />0 <br />-5 <br />C% <br />a <br />5 <br />a <br />'9 <br />6 <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />F <br />CO O <br />ra O <br />cn v <br />1 <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Ilrnc: <br />A <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Labor <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <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 />