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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />Corporate Offices & Laboratory <br />35730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling information <br />!Client: San Joaquin County EHD <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 />IAddress: 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 />3 <br />a <br />Attn: Rodney Estrada <br />o: <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada <br />Project Name:'�\�\�� <br />cn <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />o <br />w <br />x <br />E <br />o00 <br />F <br />Sampler(s) <br />Sampling Fee: Pickup Fee: <br />E <br />a' <br />o <br />a ; <br />o F" <br />Compositor Setup Date: _/_/ Time: / <br />- <br />E <br />0 <br />Zo <br />ii <br />p <br />a <br />ami <br />�• <br />0 <br />=_ <br />O Z <br />cc <br />O <br />C z <br />a <br />v z <br />y <br />a <br />E <br />Number: STK 3-17919 <br />��� <br />,Lab <br />0 <br />!Sam p <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />" <br />a <br />o <br />M <br />'= v <br />v° E <br />o <br />°' E <br />fl <br />b <br />v <br />E <br />M. <br />w <br />w <br />(�\ \ <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinq he Date: Time: <br />Relin uished Date: Time: <br />i2 I Z �IUD <br />ReceivedW Date: Time: <br />Recery B Date- Time: <br />Received By: Date: Time: <br />� An <br />� u IM5 <br />/ 10ZI 116D <br />I �n two <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 />