Laserfiche WebLink
Special CHMM OF CUSTODY <br />P www.fgUnc.com , <br />Laboratory Copy (1 of 3) <br />i <br />11111111111111111111111111111111111 IN <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />ENVIRONMENTAL <br />-- AGRICULTURAL <br />Analytical Chemists <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Special CHMM OF CUSTODY <br />P www.fgUnc.com , <br />Laboratory Copy (1 of 3) <br />i <br />11111111111111111111111111111111111 IN <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite 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 />Address: San Joaquin Co. Environmental Health Dep. <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 />Water Quality Division <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />w <br />3 <br />x <br />Contact Person: Rodney Estrada <br />ver-I1i,C.� <br />Project Name: 2 L3J c <br />a <br />Purchase Order Number: <br />U <br />w <br />3 <br />Quote Number: ST 20160309-01 <br />n <br />o <br />w <br />w <br />vw <br />i <br />Q <br />z <br />z <br />�' <br />E <br />O <br />Sampler(s) <br />Fro -m G I S c0 lz(A- i <br />C <br />Sampling Fee: Pickup Fee: <br />c <br />o <br />a <br />p <br />a� <br />a <br />!' <br />O <br />Compositor Setup Date: _/ / Time: / <br />E <br />cn <br />0 <br />a <br />E <br />� <br />z <br />a <br />O <br />.. <br />a' <br />o vai <br />Ca <br />"r p <br />f <br />Lab Number: STK ( f 3-17919 <br />a <br />'� <br />Samp <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />a <br />E <br />a <br />t <br />¢ E <br />w a <br />ET <br />w <br />r-0 0 <br />0 <br />Travel Blank <br />Y t <br />r !C, <br />G <br />LBWZ, <br />1 <br />( <br />(SLI <br />/ <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />' fled ate: ime: <br />P-113 aryl, i t r� s <br />3 Zl I <br />�,✓ <br />Received By: Date: Time: <br />Received By: Date: Ti <br />c d y Date: T.im <br />/ <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite 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 />