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CHAIN OF CUSTODY <br /> Special ullww.fgUnc.com <br /> Laboratory Copy (1 of 3) <br /> III IIII IIIIII 'llll'III �� 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Atm:Michael Kith a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 '° <br /> a <br /> z <br /> Phone: (209)468-3444 Fax: w m <br /> Contac[Person: Michael Kith Q v <br /> Project Name:kc`' \5s <br /> Purchase Order Number: rn ? "a <br /> W ¢ a O <br /> a a <br /> Quote Number: fi v <br /> Sampler(s) E u H 0 p <br /> v� <br /> 6o <br /> Sampling Fee: Pickup Fee: .E <br /> c a <br /> Compositor Setup Date:_/_I Time: / W n z O a n w <br /> Lab Number: SPK 3-17919 `o r% y^ a <br /> E <br /> `ro c F au'0 OC7 <br /> Samp Date Time <br /> Num I.ocanon Description Sampled Sampled F a m m 0 e <br /> I G DW Sub-3 <br /> Remarks: Rrlinquished Date: ime: Relinquished Date: Time: Relinquished Date: Time: <br /> \ �P'j 13 J 1-'gD <br /> Received y: D Time: Received By: ate: Time: Received By: Date: Time: <br /> 1* a) 4N f3�3 c 161 <br /> Corporate Offices&Laboratory 1 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 V ' 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 1Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)3433807 Fax:(805)783.2912 Fax:(559)7348435 <br />