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Special CHMN OF CUSTODY <br /> #4 <br /> ENVIRONMENTAL AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (I of 2;) <br /> _7 TFS F�)LSCIZ III F I ON Ste Reverse side I-ol ("'Iltaillel e ill I 111ii I i''[I <br /> 3--4730:02,106/201 i <br /> Client;,- Sall J-;-(Juin Cotlnf,� HID <br /> AddreS',: Sail Jt (Iuin Co. Erivironmental Health Del) <br /> Water Quality Division <br /> Attn: Pi,dncy Estrada <br /> 1868 I.,st Hazelton Ave. <br /> Stockt(4%CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Prgject Name: \L\C)0(j uv WtLV, twit <br /> UPurchase Order Number: <br /> > <br /> Quote Number: ST 20160309-01 <br /> 00 <br /> Sampler(s) z <br /> vWi C' <br /> 0 <br /> S 0 <br /> Samplim, Fee: Pickup Fee: 7 w 24 E- <br /> 0.�D <br /> V) <br /> �4 — <br /> Compositor Setup Date: Time: Z 0 lu vM c;0 <br /> It <br /> V) E <br /> czl <br /> Lab Number: SIX �-472A 3-17919 — <br /> Samp Date Time -2 E E 7� <br /> Location Description U = — <br /> . I C) 0 <br /> Num Sampled Sampled :5-� 1 0 .0 M F- U 0 <br /> N rj� <br /> CL IM <br /> l0 l� DoE G DW I.1,1VA <br /> Remarks: Relinquished Date: Time: R shedt Time: Relinquished Date: Time: <br /> (70 C� I5 {'� 21 D'.y <br /> Received By: Date: Time: Receive By: Date: Time: ived By: Date: Time: <br /> IReej <br /> �' �iti�� 1 Li t\1 \ 1 , /f� 3� <br /> -747 <br /> Corporate Offices&Laboratary Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone: (559)734-9473 <br /> Env Fax:(805)525-4172/Aq Fax: (805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax- (805)7R'I-?91? Fny- 7'44-R4A.1; <br />