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Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />111111111111111111111111111111111111111111111111111111111111 <br />35730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for ('ontainer, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />ENVIRONMENTAL <br />-_-- AGRICULTURAL <br />Analytical Chemists <br />2500 Stagecoach Road <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />111111111111111111111111111111111111111111111111111111111111 <br />35730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for ('ontainer, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Office & Laboratory <br />853 Corporation Street - <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />p <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />3 <br />.a <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />0 <br />Phone: (209)468-0331 Fax: <br />ua <br />y <br />x <br />Contact Person: Rodney,E/strada <br />Project Name: <br />h <br />o <br />Cn <br />Purchase Order Number: <br />Quote Number: ST 20160309-0100 <br />o <br />w <br />a <br />z <br />T <br />O <br />F- <br />A <br />Sampler(s) <br />vwi <br />a <br />p� <br />Qp <br />a4 C11 <br />x <br />w <br />Sampling Fee: Pickup Fee: <br />5 <br />; <br />o <br />o <br />Compositor Setup Date: _/_!_ Time: _/_10 <br />z <br />O <br />o, <br />Era <br />cNa <br />.o z <br />U <br />c z <br />x <br />w � <br />Ca <br />F= <br />Lab Number: STK 3-17919 <br />0 <br />° <br />Cn <br />0 <br />ii <br />?? <br />o� <br />H <br />w� <br />E <br />oN <br />iii <br />e <br />a <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />U <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: lime: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: lime: <br />CorRorate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street - <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / 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 />