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- Special CHMN OF CUSTODY <br /> www.fgUnc.com <br /> ENVIRONMENTAL �� AGRICULTURAL Field Copy (3 of 3) <br /> III'III� IIIIIIIIIIIIIIIII <br /> 111111111111111111111111 IN 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 /> Attn: Michael Kith 3 a <br /> 1868 East Hazelton Ave. <br /> co <br /> Stockton,CA 95205 3 R <br /> a <br /> v <br /> Phone: (209)468-3444 Fax: 04 <br /> Contact Person: Michael Kith 2 A Q a <br /> x <br /> Project Name: 3 o T <br /> Purchase Order Number: <br /> Quote Number: a ¢ `" _ <br /> a <br /> Sampler(s) o vi z > O <br /> a p o <br /> Sampling Fee: Pickup Fee: _ ;, ° <br /> ry a� Co s a' u Ca <br /> Compositor Setup Date:_/ /_ Time:_/_ E a z O a w <br /> H o� �r <br /> Lab Number: STK 3-17919 0 a a e ro j <br /> us epu <br /> Samp Location Description Date Time v 1 o U U o <br /> Num Sampled Sampled a m cC 0 v�v <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: 'Dime: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 />