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Special <br />CHAIN OF CUSTODY <br />ww mfglincxom <br />Customer Coyly (2 of 3) <br />Corporate Offices &Laboratory Office &Laboratory Office 8 Laboratory Office &Laboratory Office $Laboratory <br />853 Corporation Street 2500 Stagecoach Road 563 E. Undo <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 />r <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />E <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />0; <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />=� <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada <br />Q <br />Q <br />nn <br />V <br />Project Name: vii) )k �(ve <br />Cd <br />C'n <br />Purchase Order Number: <br />3 <br />0 <br />Quote Number: ST 20160309-01 <br />W <br />C4 <br />F <br />0 <br />H <br />Sampler(s) Q <br />oCOO <br />z <br />T <br />O <br />Q <br />kQnG�S(,� Iia <br />p <br />x <br />a <br />o <br />Sampling Fee: Pickup Fee:cu <br />F N <br />M <br />N <br />Compositor Setup Date: / / Time: /_ <br />E <br />z <br />p <br />ani <br />�' Z <br />Z <br />Ei <br />o� <br />o <br />w <br />Q <br />F <br />Lab Number: STK 3-17919 <br />0 <br />% <br />a <br />a <br />l <br />kn <br />o <br />0 <br />a <br />CO <br />Samp <br />Time <br />¢ <br />o <br />o N <br />0� <br />x <br />Location Description <br />�PIDate <br />co <br />M <br />Num <br />Sampled <br />Sampled <br />F. <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished„ Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />gIL` r1� <br />Received By:ate: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <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 />