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Il MENTAL AGRICULTURAL <br />Analytical Chemists <br />Special CHMN OF CUSTODY <br />www.fgUnc.com <br />Laboratory Copy (� of 3) <br />I <br />Office & Laboratory <br />2500 Stagecoach Road <br />35730:02/06/2017 <br />Office & Laboratory t Office & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />TEST DESCRIPTION <br />3442 Empresa Drive, Suite D 9415 W. Goshen Avenue <br />San Luis Obispo, CA 93401 <br />- See <br />Reverse <br />side for Container, <br />Visalia, CA 93291 <br />Phone (A0517R�_�Qdn <br />Preservative <br />and Sampling <br />information <br />Client: San Joaquin:County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />3 <br />a <br />1868 East Hazelton Ave. <br />N <br />;, <br />Stockton, CA 95205 <br />3 <br />c <br />Phone: (209)468-0331 Fax: <br />w <br />Contact Person: Rodney Estrada <br />Ca <br />°" <br />'V <br />F= <br />C' /I <br />Project Name: , D�'�L� V6� V\kJ� V—(, <br />C7 <br />w <br />0 <br />a <br />Purchase Order Number: r C�c <br />WL I �� ? <br />3ou <br />Quote Number: ST 20160309-01 <br />N <br />a <br />¢ <br />ui <br />E <br />W <br />a <br />F <br />_ <br />F <br />Sampler(s) <br />�n `_ , "1 <br />N 4�/� t/ <br />U <br />* <br />a <br />v� <br />_ <br />a <br />Sampling Fee: Pickup Fee: <br />c <br />_ <br />a <br />O <br />`a <br />c p, <br />_✓' <br />r <br />0.N <br />o <br />x <br />xtW- <br />Compositor Setup Date: / / Ti e: / <br />--- -- <br />E <br />= <br />E <br />° <br />Z <br />$ <br />O <br />ni <br />c� <br />o <br />Ln <br />oz <br />U <br />" <br />�� <br />x <br />a� <br />e Z <br />„ <br />u <br />p <br />E <br />Lab Number: STK j{ s 3-17919 <br />/t <br />o <br />w <br />o <br />a <br />v <br />a— <br />E a <br />Samp <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />„ <br />nT <br />5 <br />v <br />m <br />L <br />m <br />o <br />U <br />e o <br />x <br />F <br />ao <br />O <br />c7 N <br />w <br />w <br />w <br />} a <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished ate: Time: <br />�Z� '� <br />Relinquished Date: Time: <br />(A 4 Z� _�/ iv I <br />Received By: Date: Time: <br />Recei d By: Date: Time: <br />Received By: Date: Time: <br />171) <br />Corporate Offices R Laboratory <br />Office & Laboratory <br />2500 Stagecoach Road <br />Office & Laboratory <br />563 E. Lindo <br />Office & Laboratory t Office & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />3442 Empresa Drive, Suite D 9415 W. Goshen Avenue <br />San Luis Obispo, CA 93401 <br />Phone: (805) 392-2000 <br />�_., r,.... m", - .. _ , . - <br />Phone: (209) 942-0182 <br />I ---. --- _--- - <br />Phone:(530)343-5818 <br />Visalia, CA 93291 <br />Phone (A0517R�_�Qdn <br />