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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />Special <br />CtWN OF CUSTODY <br />wumfglinc.com <br />Field Copy (3 of 3) <br />Corporate Offices & Laboratory <br />35730:112,06,2017 <br />1 LSI' DESCRIPTION Reverse side for Contziner. Preserval:N, and Sampling <br />intormation <br />Client: 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 />t <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 />Address: 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 />a <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />) <br />x <br />Contact Person: Rodney Estrada <br />d <br />2 <br />Project Name: <br />Purchase Order Number: <br />U <br />W <br />d <br />uW <br />Quote Number: ST 20160309-01 <br />o <br />Qy <br />N <br />a <br />W <br />a <br />EEi <br />t <br />00ii <br />H <br />Samplers)o <br />CO) <br />z <br />1, <br />A <br />U <br />* <br />Cn <br />O <br />Sampling Fee: Pickup Fee: <br />c <br />w <br />.o `"' <br />a <br />�F <br />Compositor Setup Date: Time: <br />a <br />y <br />o <br />z <br />O <br />�+'U <br />N cNd <br />—`n <br />bZ <br />a <br />a� <br />_/_/ _/ <br />is <br />o z <br />c z <br />x <br />:w � <br />Q <br />E= <br />Lab Number: STK 3-17919 <br />0 <br />do <br />A <br />o <br />ii <br />Q <br />H <br />�0 <br />�O <br />U <br />�e: <br />F,0' <br />0 <br />II <br />a <br />a <br />lamp <br />Date <br />Time <br />Num <br />Location Description <br />p <br />Sam P led <br />Sampled <br />p <br />F <br />o <br />a <br />d <br />Co <br />� <br />w0 <br />o <br />U� <br />t7c� <br />ii= <br />w <br />I <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 <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 />