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CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3) <br />`35731:08/02/2021 <br />ENVIRONMENTAL <br />AGRICULTURAL <br />Analytical Chemists <br />Client: San Joaquin County EHD <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3) <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 /Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <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 />`35731:08/02/2021 <br />TEST DESCRIPTION - See Reverse side foContainer, Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Michael Kith <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Phone: (209)468-3444 Fax: <br />Contact Person: Michael Kith <br />O <br />Project Name: ` i r i <br />' <br />Purchase Order Number: <br />� <br />w <br />a <br />Quote Number: <br />¢ <br />U <br />o <br />E <br />Sampler(s) <br />* <br />0 <br />o <br />Sampling Fee: Pickup Fee: <br />a <br />� <br />Compositor Setup Date: / / Time: / <br />a <br />z <br />O <br />p <br />W <br />E <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />0H <br />a <br />o <br />a <br />.. <br />a� <br />S <br />> <br />oCD <br />o <br />Samp <br />Date <br />Time <br />Num <br />l=ocation Description <br />Sampled <br />Sampled <br />T <br />F <br />0. <br />M <br />Im O <br />v) "t <br />1 <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished` Dace: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 /Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <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 />