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Special C SOF CUSTODY <br />,guw. <br />Laboratory Copy (1 of 3) <br />s' fi <br />1111 IIN 1111111111111111 MINIMt' <br />35731:02/06/2017 <br />TEST DESCRI1 ION - See Reverse side for Container, Preservative and Sampling <br />informatioij <br />Client: San Joaquin County EHD is <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalla, CA 93291 <br />Phone: (805) 392-2000 <br />c <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 />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax:°L <br />t7 <br />m <br />R <br />Contact Person: Rodney Estrada <br />1(� <br />Q <br />2 <br />Project Name: <br />3 <br />Purchase Order Number: <br />1kLGr, nqr�` <br />.o'w) � <br />a <br />Quote Number: ST 20160309-01 <br />o <br />CL <br />U <br />x <br />W <br />UJ) <br />a <br />U <br />t; <br />y <br />O <br />Sampler(s) <br />t <br />Sampling Fee: Pickup Fee: <br />a <br />° v <br />a <br />Compositor Setup Date: _/_/_ Time: _/_ <br />LY <br />E <br />0 <br />-S <br />N <br />V <br />g <br />E <br />+n <br />K <br />E= <br />p <br />z <br />a <br />-S <br />O <br />'s'' <br />w <br />04 <br />u` <br />m O <br />O <br />Q '9 <br />w <br />Lab Number: STK 3-17919 <br />Samp <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />0 <br />Travel Blank <br />' <br />Ii3,r, <br />G <br />LBW <br />1 <br />�f�i �, <br />' ` <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished <br />Date: Time: <br />Relinquis�hed/� <br />k <br />(,� �fJDaate: ) ZI fTimee: <br />W <br />1 <br />Received By: Date: Time: <br />Receiv d Da e: Time: <br />Received By: Date: Time: <br />I►'� 2(� Z1 D <br />NB <br />fl v 110La'44-11-m <br />(oto <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Office & Laboratory <br />563 E. Lindo <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />Office & Laboratory <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 />Visalla, 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 />