Laserfiche WebLink
CHMN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3) <br />ry <br />ry <br />Corporate Offices &Laboratory Office &Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office &Laborato <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office &Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office 8 Laborato <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: 9)734-8435 <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />a <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />d <br />a <br />Phone: (209)468-0331 Fax: <br />w <br />3 <br />C7 <br />Contact Person: Rodney Estrada <br />Ca <br />d <br />F <br />v�c <br />Project Name: S ( +b CVVLr C <br />r„ <br />`1(� 2 <br />M <br />Purchase Order Number: �� ` <br />t4cn <br />V <br />ua <br />1 <br />> <br />Quote Number: ST 20160309-01 <br />Sampler(s) <br />o <br />z <br />Q <br />/ <br />vWi <br />> <br />a <br />Sampling Fee: Pickup Fee: <br />r'" <br />? <br />o F� <br />o° <br />Compositor Setup Date: / Time: <br />z <br />p <br />N <br />.o z <br />M <br />aJ <br />_/ <br />zzrA <br />w <br />Ca <br />Lab Number: STK 3-17919 <br />w <br />a <br />0 <br />a <br />a <br />a <br />o <br />a <br />E• <br />> <br />°o <br />Sam <br />Date <br />Time <br />Location Description <br />° knx <br />° <br />Num <br />Sampled <br />Sampled <br />N <br />u°, <br />w° <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices &Laboratory Office &Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office &Laborato <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office &Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office 8 Laborato <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: 9)734-8435 <br />