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,ENVIRONMENTAL = AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />AllillillillillillillillillillillillillilliillillillilI <br />35730:02/06/2017 <br />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 />i <br />Water Quality Division <br />3 <br />Attn: Rodney Estrada <br />u <br />1868 East Hazelton Ave. <br />ro <br />Stockton, CA 95205 <br />3 <br />0 <br />Phone: (209)468-0331 Fax: <br />C7 <br />A <br />Contact Person: Rodney Estrada <br />Project Name: VA }> �. <br />0 <br />vWi <br />c <br />rn <br />Purchase Order Number: <br />x <br />> <br />3 <br />a <br />a <br />w <br />Quote Number: ST 20160309-01 <br />o <br />W <br />¢ <br />p^ <br />z <br />E <br />> <br />_ <br />F <br />O <br />a <br />0 <br />f <br />A <br />Sampler(s) <br />U <br />vWi <br />^? <br />Cn <br />a <br />a <br />O <br />Sampling Fee: Pickup Fee: <br />fir- <br />a <br />0 <br />Compositor Setup Date: _/_/_ Time: _/_ <br />a <br />y <br />o <br />z <br />O <br />x u <br />;~ <br />o <br />y d <br />•o z <br />V <br />a <br />c zz <br />x <br />? <br />w � <br />A <br />F <br />Lab Number: STK 3-17919 <br />0 <br />w <br />o <br />T <br />ii <br />o <br />T <br />6 <br />a <br />o <br />a <br />�, <br />o, <br />o <br />Samp <br />Date <br />Time <br />Location Description <br />Sampled <br />Sampled <br />F. <br />a <br />PG <br />M O <br />Num <br />U -• <br />C7 c� <br />a _: <br />w <br />s <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Date: line: Relinquished Dale: Time: Relinquished Date: I"ime: <br />Received By: Date: Lime: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />