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rC <br />NMEIYTAL — AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special www.fgUM.aom <br />Laboratory Copy> 1 of 3) <br />Coroorate Offices & Laboratory <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and S4mpling <br />information <br />Client: San Joagtuin 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 />Y <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 />h Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />J' <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 />a <br />1868 East Hazelton Ave. <br />ro <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-0331 Fax: <br />c7 <br />w <br />co <br />a4 <br />Contact Person: Rodney Estrada ll gq n. J w" <br />, <br />Project Name: ��anJta ✓"a <br />O <br />A <br />GO <br />d <br />1� C` <br />a <br />Purchase Order Number: Lod C, <br />3 <br />Quote Number: ST 20160309-01 6/ <br />o <br />9 <br />Lw <br />¢ <br />z <br />E <br />ol <br />00 <br />O <br />o <br />O <br />h <br />A <br />0 <br />Sampler(s) / t ( <br />Sampling Fee: Pickup Fee: <br />g <br />� <br />o <br />a <br />o <br />Compositor Setup Date: / /_ Time: / <br />-- <br />E <br />v� <br />E <br />w <br />z <br />p <br />a <br />n <br />o' a <br />Cvai <br />d <br />= z <br />oz <br />o <br />C <br />a <br />° z <br />w <br />Y <br />Q <br />n <br />E <br />E - <br />c <br />/ 3-17919 <br />Lab Number: STK %�5 �CO <br />! <br />b <br />-B <br />O <br />a <br />w° <br />E- II <br />= <br />v <br />Samp <br />Date <br />Time <br />Location Description <br />Sampled <br />Sampled <br />M O <br />°o <br />U <br />C7 cE� <br />2Num <br />1 <br />15 <br />Il i I S <br />G <br />DW <br />1 <br />Remarks: <br />Relinquished Date: Time: <br />tushed Date: Time: <br />/�� 17a <br />mA s d Date: <br />Time: <br />I <br />— y {4 f5 <br />t.. <br />Re * ed By: Date: Time: <br />Received By: /Date: Time: <br />ei ate: une: <br />Coroorate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />- 1 <br />Office & Laboratont <br />4"'--— <br />Office & Laboratory <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 />h Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />J' <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />