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EIYVIROIYMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special wpw.fgUnc.com <br />Customer Copy (2 of"J3) <br />a <br />111111111111111 �111 IN 1111` <br />� 35730:02/06.2017 <br />TEST DESCRIPTION -See Reverse side fol Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />' Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />3 <br />a <br />Attn: Rodney Estt�da . <br />1868 East Hazelton Ave. <br />3 <br />Stockton, CA 95205 <br />a. <br />Phone: (209)468-0331 Fax: <br />w <br />a <br />Contact Person: Rodney Estrada <br />A <br />1 , , ' <br />Project Name: h , ' - <br />C7 <br />W <br />rn <br />pr <br />a <br />o <br />&n <br />Purchase Order Number: :\ (`, l `•. ti <br />acdi <br />ui <br />. <br />Quote Number: ST 20160309-01 <br />N <br />w <br />¢ <br />`" <br />W <br />z <br />T <br />OO <br />00 <br />A <br />Sampler(s) ( <br />( <br />eo <br />a <br />Q <br />•c= <br />v�, <br />OM <br />dp' <br />W <br />Sampling Fee: Pickup Fee: Fee: <br />d <br />Setup Date: Time: <br />T <br />o <br />w <br />p: <br />oCompositor <br />y <br />.. <br />z <br />a <br />v`O�M <br />x <br />ua <br />x <br />N <br />EO <br />x <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />Samp <br />Location Description <br />Date <br />Time <br />T <br />o <br />o o <br />d t <br />a. <br />v <br />Num <br />Sampled <br />Sampled <br />F <br />p <br />Fq <br />pq O <br />U - <br />C7 c4 <br />iu <br />w <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: 'rime: <br />Received By: Date: l'inre: <br />t; <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />853 Corporation Street <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 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 />