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FM <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists <br /> Field Copy (3 of 3) <br /> 3.5731:08/02/"021 TEST DESCRIPTION - See Reverse side for Container,Prgservative and Sampling infori,nation <br /> Cli-!'t: San 5oaquin County EHD <br /> � it'rNc.• Can Inamiin( o FnvirPnmenral NNalrh Do- ' <br /> Water(Quality Division � -t <br /> Attn: Michael Kith a <br /> v <br /> 1868 East Hazelton Ave. <br /> cc Q <br /> Cd <br /> Stockton,CA 95205 , <br /> GJ <br /> a <br /> Phohe: (209)468-3444 Fax: w <br /> Contact Person: Michael Kith ` d 7 <br /> Project Name: Cd <br /> Purchase Order Number: <br /> O <br /> Quote Number: y x U <br /> Sampler(s) o z <br /> U <br /> a <br /> Sampling Fee: Pickup Fee: S ° o <br /> a a d <br /> Compositor Setup Date:_/_/_ Time:_/ a z O cx w <br /> v� E <br /> Lab Number: STK 3-17919 o r% ii <br /> 0 0 <br /> Samp Location Description Date Time T o 0"r s E <br /> Num Sampled Sampled F p nq PQ O v�v <br /> G DW Sub-3 <br /> Remarks: Relinquished Date: i ime: Relinquished Date: Time: Relinquished <br /> RCLI:ked By: Date: Time: Received By: Date: Time: Received By: Date: Cine: <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 />