Laserfiche WebLink
1 I NVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />&ield Copy (3 of 3) <br />k <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula. CA 93060 <br />Phone: (805) 392-2000 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />Phone: (209) 942-0182 <br />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 <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 />35730:02/0812017 <br />TEST DESCRIPTION See Reverse side for Container, Pfeservative and Sampling <br />information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />3 <br />a <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-0331 Fax: <br />r.7 <br />A <br />Contact Person: Rodney Estrada <br />Q <br />E <br />Project Name: C <br />C7 <br />vWi <br />v, <br />Purchase Order Number: <br />U <br />w <br />uw <br />Quote Number: ST 20160309-01 <br />N <br />Q <br />E <br />!N <br />o <br />0 <br />oW., <br />W <br />h <br />a <br />z <br />a„�i <br />T <br />000 <br />A <br />Sampler(s) <br />v, <br />a <br />oa <br />=� <br />¢O <br />W <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: _/_/_ Tune: <br />_/_ <br />o <br />E <br />Cn <br />0 <br />z <br />ii <br />O <br />o <br />c <br />0 z <br />U <br />c Oz <br />x <br />w <br />N^ <br />A <br />x <br />E <br />x <br />o <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />$ <br />o <br />H <br />i O <br />° <br />o N <br />a <br />H II <br />c <br />c <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />t, <br />a <br />Oq <br />M O <br />U - <br />0 <br />i <br />G <br />DW <br />Remarks: <br />Relinquished <br />Date: <br />Time: Relinquished <br />Date: Time: Relinquished Daie: lime: <br />Received By: Date: Time: <br />Received By: <br />Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula. CA 93060 <br />Phone: (805) 392-2000 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />Phone: (209) 942-0182 <br />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 <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 />