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= <br />730:02 00 _ 01? <br />L <br />information. <br />Clic t-. San Joaquin County EHD <br />ENVIRONMENTAL <br />AGRICULTURAL <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 />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />Corporate Offices & Laboratory <br />730:02 00 _ 01? <br />TEST DESCRIPTION - See Revcnc >"'le fol C"nmincr. Pre',ervative and Sampling <br />information. <br />Clic t-. San Joaquin County EHD <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 />Add ess: San Joaquin Co. Environmental Health Dep <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division`' <br />Attn: Rodney Estrada <br />3 <br />a <br />I <br />1868 East Hazelton Ave. <br />Stockton, CA 952053 <br />G <br />Phone: (209)468-0331 Fax: <br />W <br />x <br />Contact Person: <br />44 <br />A <br />Q <br />2Rodue�EsT <br />w <br />Project Name: <br />O <br />vWi <br />a <br />0 <br />� <br />Purchase Order Number: <br />°D <br />a <br />W <br />Quote Number: ST 20160309-01 <br />g <br />W <br />04 <br />vi <br />¢ <br />a <br />Z <br />� <br />> <br />O <br />a <br />o <br />F <br />A <br />Sampler(s)0 <br />X ^ ' <br />U <br />* <br />a> <br />V1 <br />Q <br />O <br />o <br />O <br />°y <br />QO <br />e <br />W <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: _/_/_ Time: / <br />— — <br />—� <br />Z <br />O <br />a Q <br />ii <br />= z <br />o ^ <br />M O <br />g Z <br />z <br />iii <br />M <br />A <br />[- <br />Lab Number: STK 3-17919 <br />0 <br />�a <br />P. <br />d. <br />o o-� <br />E� II <br />°s <br />v <br />Sam p <br />Date <br />Time <br />Description <br />Sampled <br />o <br />ONum <br />U <br />i.wSampled <br />wLocation <br />l <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Datc: "Time: <br />Received By: Date: Time: <br />Received By: Date: lime: <br />Corporate 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 />