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E( Y1901IMENTAL 7WV AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special , www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />35730:02'06.2017 <br />TFST DESCRIPTION - See Re%erse si for rowainr!. Preservative and Scuuplim_ <br />inforroalwil <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 />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Address: San Joaquin Co. Environmental Health Dep <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 />Water Quality Division <br />Atm: Rodney Estrada <br />x <br />1868 East Hazelton Ave..- <br />H <br />U <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />w <br />Contact Person: Rodney Estrada <br />A <br />Project Name: <br />Purchase Order Number: LkeJ <br />Z Z <br />3 <br />a <br />—' <br />Quote Number: ST 20160309-01 <br />E <br />z <br />F <br />O <br />o <br />0 <br />F <br />A <br />Sampler(s) <br />o <br />U <br />vWi > <br />O <br />`oo <br />W <br />Sampling Fee: _ Pickup Fee: <br />Compositor Setup Date: 1 / Time: / <br />E <br />z p <br />E <br />w a T <br />o c <br />o z <br />co <br />5 z <br />x <br />w <br />A <br />c <br />H <br />c <br />Lab Number: STK 3-17919 <br />�S"3 5, � <br />4, <br />o <br />o v H <br />a <br />' <br />a O <br />a <br />o .; <br />o o <br />;� .� <br />❑ o <br />� <br />E• II <br />x <br />Samp <br />Location Description <br />Date <br />Time <br />0 <br />6 <br />" <br />Num <br />Sampled <br />P <br />Sampled <br />P <br />o <br />H <br />MU <br />0 i i <br />"1 <br />1 <br />WZ <br />Z <br />j 'ID <br />G <br />DWTM(_ <br />1,1,1 <br />,q <br />Remarks: <br />Relin uished Date: Time: <br />R quished Date: Time: <br />Date: Time: <br />X70 0 <br />ed By: Date: Time: <br />Received By: ate: Time: <br />kelinquished <br />By: I Date: Ti e:(7a <br />'01 <br />LJ <br />CorRorate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Labor <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 />