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CHM OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURALSpecial www.fgline.com <br /> • f Laborato � Copy (1 of 3) <br /> - , <br /> 35731:08/02/202 TEST DESCRIPTION - See Reverse side for Container, Prese ive and Sampling information <br /> :lien ' San Joaquin County EHD <br /> lddress,.San Joaquin CO. Environmental Health Dep . <br /> iWater Quality Division <br /> Attn:Michael Kith <br /> 6 }� <br /> 1868 East Hazelton Ave. �} <br /> ..Stockton,CA 95205 3 <br /> C <br /> 'hone: (209)468-3444 Fax: G h <br /> ,omact Person: Michael Kith ¢ °' <br /> //y G i V/ AJ V ti <br /> 'roject Name: lZOy4/'^ C7 h ie ti <br /> 'urchase Order Number. <br /> )uote Number: z ¢ '�' u <br /> E <br /> ;ampler(s) nn E ti Z a, o q <br /> 1�w3(s� a taw 2_ a <br /> iampling Fee: Pickup Fee: � <br /> a <br /> -Ompositor Setup Date:_/_/_ Time:_/_ o, Z O p, m <br /> -ab Number: STK 2163 3.17919 `o 2 a c w <br /> amp Date Time a E <br /> Yum Location Description Sampled Sampled pr, p°, w A p �,e I I , <br /> I t/lkj •3V G DW Sub-3 <br /> temarks: Relinquished Date: Time: R hed / ya[e: Time: Relinquished Date: Time: <br /> cery By: D le: Time: Received By: Date: Time: Received By: Date: Time: <br /> ' It 7Wa3 Diaz &Y '/// 7 -01 <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 /> 10 :05)392-2000 Phone:(805)5254172/Ag Fax:(805)392-2063 Fax:(209 )94 82 2-0423Fax:(530)343-3807 Phone:(530) 18 Fax:(805)78 40 3- 2912Fax:(5Phone:59)73 <br /> Env Fax4-8435 <br />