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hl-i <br />NVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special www.fgUnc.com <br />Field Copy (3 of 3) <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111 <br />Office & Laboratory <br />2500 Stagecoach Road <br />3;730:02/0612017 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />CL -ST D1:,,CRIPTIUN <br />- See <br />Reverse <br />side for Crnuai.ur, <br />l're.er,anve <br />and Sampling <br />intormatton <br />I <br />S <br />_ <br />'lient: San Joaquin County EHD <br />address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />a <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />P <br />Stockton, CA 95205lu <br />3 <br />n <br />'hone: (209)468-0331 Fax: <br />* <br />P4 <br />x <br />:ontact Person: Rodney Estrada <br />� <br />2 <br />'roject Name: <br />fr <br />C7 <br />ti <br />'urchase Order Number: <br />�? <br />W <br />)uote Number: ST 20160309-01 <br />GL <br />W <br />a <br />F <br />oho <br />F <br />iampler(s) <br />orwi� <br />Z <br />> <br />O <br />a <br />A <br />U <br />* <br />2 <br />y <br />Sampling Fee: Pickup Fee: <br />3ompositor Setup Date: / / Time: / <br />— — — <br />Q <br />C <br />°�.' <br />z <br />O <br />a oi a <br />� <br />Y N <br />z <br />o <br />U <br />M <br />O <br />cz <br />x <br />Z <br />x <br />a> <br />E <br />x <br />iab Number: STK 3-17919 <br />o <br />w <br />a <br />i?. <br />a <br />M r <br />O <br />m <br />H II <br />Date <br />Time <br />amp <br />Kum <br />Location Description <br />Sampled <br />Sampled <br />,, <br />F <br />o <br />p <br />�q <br />t5 <br />Q <br />M O <br />o N <br />U- <br />C7 N <br />2 <br />t� <br />°' <br />i <br />2' <br />i <br />1 <br />G <br />DW <br />temarks: <br />Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Office & Laboratory <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 & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />