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ML <br />FENMONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy, (2 of 3) <br />it <br />Coroorate Offices & Laboratory <br />35731:02/06/2017 <br />g TEST DESCRIPTION - See Reverse side for Container, Preservative andampling information <br />Client: San Joaquin County EHD <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Address: San Joa4uin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />c <br />Phone: (209)468-0331 Fax: <br />c7 <br />W <br />3� <br />Contact Person: Rodney Estrada <br />Project Name: i — <br />Purchase Order Number: r l_ e . ( " 1 i 1' <br />U <br />Quote Number: ST 20160309-01 <br />z <br />E <br />T <br />O <br />Sampler(s) <br />o <br />U <br />Sampling Fee: Pickup Fee: <br />a <br />Y'" <br />c <br />O <br />? <br />a <br />Compositor Setup Date: _/ / Time: _/_ <br />Q <br />z <br />O <br />p <br />Q <br />Lab Number: STK / J 3-17919 <br />0 <br />wp <br />0 <br />0 <br />ri <br />a <br />t~ <br />a� <br />'� <br />o> <br />Samp <br />Location Description <br />Date <br />Time <br />-S <br />a <br />O <br />Q 6 <br />Num <br />Sampled <br />SampledH <br />a <br />pq <br />w v <br />0 <br />Travel Blank <br />G <br />LBW <br />�. <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: I ime: <br />Coroorate Offices & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />