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ENVIRONMENTAL" AGRICULTURAL <br />Analytical Chemists <br />Special CHAIN OF CUSTODY <br />P www.fgUnc.com <br />Laboratory Copy (1 Of 3) <br />IIIIIIIII1111111111IIIIIIIMil IIIIIIIIIIIIIIIIIIIIIIIII111 <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling <br />information <br />Client: San Joaquin County M) <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 />a <br />Atm: Rodney Estrada <br />3 <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />°4 <br />Contact Person: Rodney Estrada \ r <br />Q <br />Project Name: <br />Purchase Order Number: <br />V <br />w <br />v <br />w <br />Quote Number: ST 20160309-01 <br />o <br />w <br />¢ <br />z <br />' <br />E <br />T <br />a <br />o <br />�_ <br />F <br />Ca <br />Sampler(s) <br />w <br />U <br />x <br />a <br />a <br />O <br />V <br />:E : <br />Sampling Fee: Pickup Fee: <br />E <br />Compositor Setup Date: / / Time: <br />E <br />z <br />B <br />E <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />0 <br />v <br />> <br />L y <br />E a <br />= E <br />a <br />" E <br />' 2 <br />a <br />b <br />a <br />n <br />am <br />Date <br />Time <br />Num <br />Location Description <br />led Sam <br />PF- <br />Sampled <br />oG m O <br />U <br />c7 r <br />i� <br />G <br />DW <br />o <br />1 <br />1,1,1 <br />n_: <br />1�' <br />�V�� <br />Nl� �0 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished DatflJ Time: <br />R linquis Date: Tim <br />eived By: Date: Time: <br />Received y: Mite: Time: <br />R v d ,Date: T"me: <br />tK <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 />