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Special CHMN OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIII 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 3 a <br /> Attn: Michael Kith x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3444 Fax: <br /> C7 Lc1 � <br /> Contact Person: Michael Kith A ¢ w <br /> Project Name: <br /> Purchase Order Number w <br /> �/ <br /> Quote Number: "ref/ o x U <br /> E <br /> Sampler(s) o Cn z t, O A <br /> /U�45ff-A �X#M449 x <br /> Sampling Fee: Pickup Fee: o <br /> a r4 AQ <br /> Compositor Setup Date: / / Time: / E z O w <br /> rn .. <br /> Lab Number: STK 3-17919 0 ii aCd j <br /> 0 0 = F 94 o� <br /> Samp Date Time S a '� : <br /> Num Location Description 0 L)Sampled Sampled F a m a4 O = It <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <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 />