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Special C�iAIlYUOF CUSTODY <br />rte• <br />Laboratory Copy (1 of 3) <br />1111111111111111111111111111111111 JII <br />35730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling' <br />information <br />Client: San Joaquin County EHD <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa D uite 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 />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />3 <br />Atm: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />u. <br />Phone: (209)468-0331 Fax: <br />c? <br />w <br />3 <br />- <br />Contact Person:Rodney Estrada <br />Q <br />_ <br />Project Name: <br />Purchase Order Number: <br />ua <br />Quote Number: ST 20160309-01 <br />E <br />x <br />w <br />z <br />E <br />F- <br />Q <br />Sampler(s) <br />O <br />LL <br />O <br />O <br />°`z' <br />Qp <br />`O <br />W <br />Sampling Fee: Pickup Fee: <br />G <br />or <br />� <br />� � <br />a N <br />En <br />x H <br />Compositor Setup Date: / / Time: / <br />d <br />E <br />0 <br />o <br />�% <br />G <br />z <br />a <br />p <br />c <br />(Y. '^ <br />y <br />° a <br />En <br />= <br />Oz <br />M <br />:° O <br />[z <br />v <br />y <br />Lab Number: STK 3-17919 <br />as'/37 <br />7:1 <br />sa <br />" <br />o <br />Q <br />n? <br />E� <br />�Op°a <br />= <br />° o <br />' o <br />H II <br />a <br />o <br />b <br />Samp <br />Location Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />� <br />- <br />1 <br />�� <br />�, v <br />G <br />DW <br />1 <br />1,1 <br />q_ <br />Remarks:- <br />elinquished Date: ��.\ Time:ished <br />4n� <br />ate: Time: linqui Date: e: <br />•7 <br />C <br />�'eM <br />t7d7� <br />Date: Time: <br />Received By: Date: Time- By: Date: Time: <br />11,71 <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratiry A <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa D uite 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 />