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F'GL <br />n1/iR0NMENTAL AGRICULTURAL <br />Analytical Chemists <br />Special CHMN OF CUSTODY <br />P 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 EFiD <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 />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 />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-0331 Fax: <br />a <br />Contact Person: Rodney Estrada /1 <br />Q <br />Project Name: \\ Li6 \ <br />w <br />Purchase Order Number: ��w ►� G �� J��v <br />i <br />u <br />�, <br />�' <br />Quote Number: ST 20160309-01 <br />o <br />U <br />w <br />Ln <br />Z <br />a <br />E <br />> <br />O <br />a <br />o00 <br />Q <br />E- <br />O <br />Sampler(s) <br />V <br />Sampling Fee: Pickup Fee: <br />C <br />O <br />? <br />O <br />C y <br />— <br />¢ O <br />°� <br />W <br />Compositor Setup Date: / / Time: / <br />E <br />a <br />z <br />p <br />a <br />x <br />o <br />= d <br />oz <br />O <br />�z <br />b z <br />E <br />Lab Number: STK 21 3-17919 <br />0 <br />o <br />a <br />C <br />'- <br />'cx� ° <br />a <br />= <br />a <br />o <br />a <br />a <br />s <br />o <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sam P led <br />Sampled <br />P <br />" <br />' <br />F- <br />° <br />a <br />a: <br />d <br />mO <br />of <br />° <br />U- <br />5 <br />ON <br />1 <br />'q"v <br />-r�� <br />G <br />DW <br />I <br />1,1,1 <br />l3°:G7 <br />Remarks: <br />Relinquished Date: Time: <br />: Time: <br />Relinquished 011 <br />Relinquished Date: Time: <br />9-L`� <br />I-Iry <br />*1 I Chi u <br />Received B Date: Time: <br />Receive y: Dae: Time: <br />R ed By: Date: Time: <br />1� `� 2(� `lI <br />4L -n L-14 icAc <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 />