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PUL <br />ENVIRONMENTAL = AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAiri OF CUSTODY <br />wWw.fgUnc.com <br />a Customer Copy (2 of 3) <br />II'IIIIIIIIIIIII�II�I'IIIIIIIII'IIIIIIIIIIII111I IIIIIIN <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County IIID <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 />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />Atm: Rodney Estrada <br />a <br />i <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />0 <br />Phone: (209)468-0331 Fax: <br />* <br />x <br />Contact Person: Rodney Estrada <br />Project Name: '- ' <br />v: <br />Purchase Order Number: <br />�? <br />WCAJ_ <br />w <br />Quote Number: ST 20160309-01 <br />a <br />o <br />W <br />(.1)z <br />a <br />ayi <br />> <br />F <br />O <br />O <br />00 <br />E- <br />A <br />Sampler(s) <br />* <br />5 <br />o <br />O <br />Crw <br />d0 <br />° <br />W <br />Sampling Fee: Pickup Fee: <br />5 <br />a <br />i <br />o <br />o <br />Compositor Setup Date: _/_/_ Time: _/_ <br />n <br />w <br />o <br />z <br />-5 <br />O <br />a <br />w'0 <br />c <br />o <br />U` <br />o z <br />V <br />d <br />G <br />x <br />bz <br />w <br />i <br />Q <br />x <br />H <br />x <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />o <br />T <br />a <br />z <br />o <br />E> <br />M <br />�O <br />o o <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />�5 <br />E, <br />a <br />to <br />W O <br />U- <br />U N <br />u. -: <br />u <br />w <br />1 <br />G <br />DW <br />j <br />1 <br />1,1,1 <br />Remarks: <br />Relinquished pate: Time: Relinquished Date: Time: Relinquished Date: Time: <br />Received 13y: 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 />