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Special <br />CIiAIN OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />Corporate Offices &Laboratory Office & Laboratory <br />Office <br />&Laboratory <br />Office &Laboratory <br />Office &Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: <br />(530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 5254172 / Ag Fax: (805) 392-2063 <br />35731:02/06/2017 <br />TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling information <br />Fax: (805) 783-2912 <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />a <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Phone: (209)468-0331 Fax: <br />w <br />3 <br />c? <br />Contact Person: Rodney Estrada <br />Q <br />Q <br />a <br />C7 <br />w <br />o <br />Project Name: <br />LJ1 <br />c <br />coa <br />Purchase Order Number: <br />U <br />> <br />on <br />Q <br />Quote Number: ST 20160309-01 <br />C <br />Sampler(s)V) <br />z <br />vwi <br />O <br />o <br />O <br />c a <br />G <br />Sampling Fee: Pickup Fee: <br />o = <br />p <br />Compositor Setup Date: / / Time: / <br />E <br />z <br />Oas <br />Q <br />C <br />Lab Number: STK 347919 <br />0 V) <br />a. <br />c <br />O <br />O <br />0 <br />0 <br />� <br />H <br />a o <br />o <br />Samp <br />Date <br />Time <br />❑ <br />'� <br />Num <br />Location Description <br />Sampled <br />Sampled <br />ai <br />O <br />W <br />E~ <br />a° <br />0 <br />Travel Blank <br />G <br />LBW <br />4 <br />1 <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Office <br />&Laboratory <br />Office &Laboratory <br />Office &Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: <br />(530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 5254172 / 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 />