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CHAM OF CUSTODY <br />Special www.fgUnc.com <br />Loratory Copy (1 of 3) <br />Comorate Offices & Laboratory <br />853 Corporation Street <br />3573(b2/06/2017 <br />TEST DESCRIPTION See Reverse side for Coma r. Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <br />,L Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />K� 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 />o 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 />AddPs: San Joaquin Co. Environmental Health Dep <br />�t Water Quality Division <br />Attn: Rodney Estrada <br />t 1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />' <br />Phone: (209)468-0331 Fax: <br />w <br />w <br />v <br />a <br />Contact Person: Rodney Estrada <br />Project Name: <br />Q <br />Purchase Order Number: <br />Quote Number: ST 70160309-01 <br />o <br />y <br />Z <br />A <br />Samplers),,// <br />-- GG,, <br />0 <br />Sampling Fee: Pickup Fee: <br />S <br />a <br />C <br />aN <br />aE4 <br />o <br />f„ <br />$ <br />xx <br />o <br />Compositor Setup Date: ! ! Time: ! <br />--- -- <br />d. <br />0 <br />•S <br />a <br />o. <br />6 <br />o <br />°pT' <br />Z <br />a <br />v <br />c <br />0 <br />t.. <br />a `�' <br />ay <br />.. <br />a O <br />.0 <br />z <br />cZ <br />y <br />� .r <br />c n <br />p <br />Sx <br />a= <br />� .., <br />u Z <br />[-• 11 <br />a <br />A <br />o <br />E. <br />0 <br />. <br />d <br />Lab Number: STK �J��� 3-17919 <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />E. <br />a <br />� <br />p`$ O <br />U <br />,�, <br />it <br />w <br />I <br />�(� <br />"/�"Z% <br />9: <br />G <br />DW <br />1 <br />1, l Y.. <br />7• ti! <br />�%' c� <br />9t <br />Remarks: <br />Relinquished Date: Time: <br />ped D te. Time: <br />X���ar 1-706 <br />Relinquished Date: Time: <br />�.� I til 111 <br />y: D te: Time: <br />_71a��f <br />Received By: Date: Time: <br />q/��a7�� <br />Received By: Date: Time: <br />//�,! <br />iso )C <br />Comorate Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Office & Laboratory <br />563 E. Lindo <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />,L Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />K� 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 />o 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 />