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L <br />ill -MENTAL � AGRICULTURAL <br />Analytical Chemists <br />CHAIn OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />Corporate Offices & Laboratory <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 Drive, e 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 />a <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />x <br />Contact Person: Rodney Estrada <br />Q <br />¢ <br />� <br />a <br />Project Name: �Q� �\ v� C10`�-, <br />O <br />w <br />o <br />a <br />Purchase Order Number: � <br />�y� <br />6 <br />fl <br />w <br />Quote Number: ST 201603 9-0' 1 <br />h <br />o <br />w <br />x <br />w <br />z <br />E <br />O <br />N <br />o <br />F- <br />Sampler(s) <br />IN <br />>, <br />oio <br />o <br />p <br />O <br />'E vai <br />¢O <br />a <br />� <br />W <br />Sampling Fee: Pickup Fee: <br />e <br />_ <br />r4 <br />Nm <br />x E- <br />o' <br />,Compositor Setup Date: ! / Time: / <br />E <br />V) <br />A <br />E <br />w <br />z <br />p <br />a <br />v <br />oval <br />4 <br />'—' <br />oz <br />° O <br />5z <br />z <br />w <br />Q <br />a� <br />E <br />F <br />a <br />Lab Number: STK /3pC 3-17919 <br />0 <br />0 <br />E- <br />a <br />E a <br />o— <br />a <br />�— <br />Samp <br />Location Description <br />Date <br />Time <br />v <br />o <br />o <br />o N <br />0 <br />a <br />Num <br />Sampled <br />Sampled <br />F <br />o <br />G <br />DW <br />l <br />t,l.l <br />C� <br />3hlro <br />r>c <br />Remarks: <br />Relinquished Date: Time: <br />Relpnauished ate: Time: Re fished <br />ate: <br />'fib` <br />II ;Ijai� X, pl� 5� I I r k <br />�/l ��► �7� <br />lime: <br />Recet By: D te: Time: <br />Received By: Date: Time: . Receiv <br />te: tm <br />�� � �5 <br />4d� `��X/7 <br />�. b I <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />— -- <br />Office & Laboratory <br />4 IP <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, e 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 />