Laserfiche WebLink
- - <br />ENVIRorlMENTA(__' '' AGRICUL"DURAL <br />Awlivlical ChCnti5t5 <br />Special Cin OF CUSTODY <br />I� www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />iiNIVflNllq!�NII�III 11� I IfIllffflA�l IIRu —� <br />Office & Laboratory <br />2500 Stagecoach Road <br />35730.01/06/1017 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />(� Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />TEST' DESCRIPTION <br />San Luis Obispo, CA 93401 <br />See <br />Reverse <br />side: for Cumaincr. <br />Phone: (530) 343-5818 <br />Preservative <br />and Sampling <br />information <br />Fax. (9nm Q49-0493 <br />'liens: San Joaquin County EHD <br />Fax: (11051 7141')-2912 <br />Fax: (559) 7348435 <br />Adress: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />a <br />Attn: Rodtxy Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />hone: (20%468-0331 Fax: <br />w <br />ac <br />ontact Person: Rodney Estrada <br />_ <br />roject Name: ISt)Gb �Ij <br />JII�Y�CII�� <br />urchase Order Number: <br />v <br />w <br />rn <br />luote Number: ST 20160309-01 <br />E <br />w <br />z <br />0„ <br />o <br />ampler(s) �. <br />H <br />ampling Fee: Pickup Fee: <br />ca <br />¢°'' <br />$ <br />w <br />.ompositor Setup Date: / / Time: _ / <br />c <br />-0 <br />•5 <br />a <br />� <br />a <br />° <br />z <br />'° <br />t <br />0 <br />x— <br />$� <br />.-, <br />'� <br />0 N <br />= Z <br />V cc <br />o f <br />_ <br />LO <br />„ <br />ate_ <br />� � <br />c E <br />z <br />F• Il <br />z x <br />v <br />E <br />.ab Number: STK X3030 3-17919 <br />impDate <br />Time <br />Jum <br />location Description <br />Sampled <br />p <br />Sampled <br />v <br />,'� <br />(•-' <br />° <br />0. <br />Jp <br />°� <br />0.1 0 <br />° ems" <br />V � <br />6 N <br />0 ° <br />iz _: <br />iz <br />[r. <br />I <br />'Q„\ <br />1161 22 <br />9.15 <br />1 G <br />LVAI <br />I <br />I <br />I <br />[,I,+-�,2�- <br />\IQZ <br />9'.i5 <br />emarks: <br />Relin uished Date: Time: <br />shed ! ate: Time: <br />��Z �7Ua <br />Relinquished Date: Time: <br />- 1 (�b.�.-1 <br />to <br />eived Date: Tune: <br />rc <br />Received By: Date- Time: <br />Received y: Date: Time: <br />Corporate Offices & Laboratm <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Office & Laboratory <br />563 E. Undo <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />Office & Laboratory <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) 7349473 <br />\� Fnv Fay (11n61 595 179 / An Fax• (Rn5)3Q9-9nFi3 <br />Fax. (9nm Q49-0493 <br />Fax• 15.101.U.3-31107 <br />Fax: (11051 7141')-2912 <br />Fax: (559) 7348435 <br />