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CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />& Laboratory <br />853 Corporation Street <br />EPf?NIRONMENTAL- <br />AGRICULTURAL <br />3442 Empresa Drive, uite D <br />9415 W. Goshen Avenue <br />Analytical Chemists <br />Stockton, CA 95215 <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />Corporate Offices & Laboratory <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />& Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, 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 />Address: San Joaquin Co. Environmental Health Dep <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 />Water Quality Division <br />Attn: Rodney Estrada <br />3 <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />c <br />Phone: (209)468-0331 Fax: <br />� <br />w <br />3 <br />Contact Person: Rodney Estrada <br />Q <br />Q <br />a <br />Project Name: ,9`, �i Lt � \' (\ <br />.VG� <br />O <br />W <br />Y <br />b <br />o <br />c <br />Purchase Order Number: <br />v <br />Quote Number: ST 20160011 C� <br />N <br />o <br />w <br />W <br />w <br />a <br />F= <br />Sampler(s) <br />Sampling Fee: Pickup Fee: <br />c <br />10 <br />ga <br />�' <br />O <br />c� <br />Compositor Setup Date: _/_/ Time: / <br />a <br />E <br />0CD <br />v <br />o <br />a <br />c <br />o <br />•� <br />U <br />O <br />Lab Number: STK 3-17919 <br />o, <br />o <br />E <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />F <br />a <br />w <br />a1 O <br />a <br />w <br />0 <br />Travel Blank <br />�.t.; <br />`�, lc, <br />G <br />LBW <br />1 <br />r <br />G <br />DW <br />4 <br />I <br />Remarks: <br />Relinquished Date: Time: <br />R I' wished Date: Time:Re Quist ed Date: <br />Time: <br />,3 <br />d By: Date: Time: <br />Received By: Date: Time: Rece <br />d y: Date: ime: <br />Z\A <br />�W� <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & LaboratoryOffice <br />& Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, 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 />