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L <br />ENVIRONMENTAL --- AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special I www.fgUnc.com <br />Customer Copy Q of 3) <br />IIIIIIII'II�IIIIlllll'IIIIIIillllll'I `;III"�IIIIII"IIIIP <br />35730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling <br />information <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 />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />4 <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 />1868 East Hazelton Ave. <br />D <br />Stockton, CA 95205 <br />3 <br />c <br />Phone: (209)468-0331 Fax: <br />c? <br />w <br />3 <br />'n <br />Contact Person: Rodney Estrada <br />A <br />Q <br />_ <br />Project Name: <br />t7 <br />W <br />v <br />o <br />Purchase Order Number <br />Quote Number: ST 20160309-01 <br />S <br />W <br />a <br />z <br />N <br />O <br />o <br />0 <br />�- <br />A <br />Sampler(s) <br />;fes <br />o <br />U <br />rn <br />* <br />29 <br />0 <br />.S � <br />¢ 0 <br />° <br />x <br />w <br />Sampling Fee: Pickup Fee: <br />S <br />; <br />o <br />Q" eq <br />p <br />Compositor Setup Date: / / Time: ! <br />Q <br />; <br />z <br />0 <br />0 <br />�' z <br />O <br />d z <br />o <br />E <br />- - <br />E <br />CCAC%. <br />Y `° <br />lu <br />(.L, <br />Lab Number: STK 3-17919 <br />0 <br />ii <br />a <br />M <br />'� <br />M <br />—� <br />x <br />fl <br />x <br />a <br />Date <br />Time <br />lamp <br />Num <br />Location Description <br />Sampled <br />Sampled <br />T <br />F <br />o <br />a. <br />R� <br />R1 O <br />c N <br />U -r <br />� <br />C7 c� <br />s <br />' <br />G <br />DW <br />Remarks: <br />Relinquished Date: 'lime: <br />Relinquished Date: Time: <br />Relinquished Date: 7 imc: <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 />