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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3) <br />0- <br />Corporate Offices & Laboratory <br />35731:08/02/2021 <br />TOS'f DESCRIPTION See Reverse side for Container. Preservative and Samplin -,information <br />Client: San Joaquin County EHD <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Address: San Joaquin Co.'.Envirotunental Health Dep <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />Attn: Michael Kith <br />n; <br />1868 Easf Hazelton Ave. <br />Stockton, CA 95205 <br />a <br />Phone: (209)468-3444 Fax: <br />ua <br />rS <br />y <br />x <br />Contact Person: Michael Kith <br />ao <br />� <br />Project Name: <br />Purchase Order Number: <br />d <br />w <br />3 <br />" <br />w <br />Quote Number: <br />U <br />o <br />a <br />z <br />T <br />A <br />Sampler(s)0 <br />1* <br />U <br />* <br />3 <br />: <br />h <br />a <br />o <br />O <br />5 a <br />c <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: Time: <br />E <br />z <br />O <br />a <br />w <br />_/_/_ _/_ <br />d <br />CQ <br />� <br />v ^ <br />Lab Number: STK 3-17919 <br />o <br />�s <br />w <br />$ <br />a <br />lu <br />'� <br />r <br />'U <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />X <br />H <br />a <br />GG <br />a O <br />o <br />1. <br />rn v <br />I <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Tintr: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />