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`,.. ElY OMENTAL AGRICULTURAL <br />Analytical Chemists <br />Special CHMN OF CUSTODY <br />P www.fgam.com <br />Laboratory Copy (1 Qf 3) <br />k <br />Coroorate Offices & Laboratory <br />35731:02/06/2017 <br />TFST DESCRIPTION See Reverse side for Container, Preservative and Sampl •ig <br />information <br />Client: San Joaquin County EHD- <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 />Address: San Joaquin Co' Environmental Health Dep <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 />3 <br />a <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-0331 Fax: <br />c7 <br />w <br />Contact Person: Rodney Estrada <br />Pro ect Name: \�vo\ ,vn w a.� <br />a pa, <br />w <br />o <br />a <br />Purchase Order Number:i o��� C�s ��G <br />Quote Number: ST 20160309-01 <br />r? <br />0 <br />o <br />4 <br />z <br />E <br />x <br />O <br />Sampler(s) <br />r _ <br />L' <br />> <br />o <br />°" <br />p <br />5a <br />c <br />Sampling Fee: Pickup Fee: <br />; <br />o <br />a <br />Compositor Setup Date: / / Time: /_ <br />E <br />v� <br />0 <br />n <br />E <br />� <br />Z <br />a <br />O <br />au <br />o vti <br />m <br />q <br />Lab Number: STK 3-17919 <br />/�� / �� <br />a <br />-S <br />0 <br />Q <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />� <br />H <br />a0, <br />w <br />w O <br />w <br />0 <br />Travel Blank <br />4, • I. <br />\'� �� <br />G <br />LBW <br />1` <br />G ` <br />l� <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />quished Date: Time: <br />R nqui <br />Date: Time: <br />`i, L ii -14i5 <br />A111 <br />v- L1 <br />R i By: Date: Time: <br />447'��� i / l`a <br />Received By: //Date: Time: <br />��5/ 3l 1.7�t!� <br />RT v <br />ate: /� , Time: <br />� i q3 <br />Coroorate Offices & Laboratory <br />Office & 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, 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 />