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AMA CHAIN OF CUSTODY <br />S ecial <br />p www.fgUnc�com <br />Laboratory Copy (1 of 3) ;s <br />? 35730:02/06/2017 TEST DESC;tIPTIO ; - Sec Reverse side for Container. Preservative and Sampling inlitrmAion !'c� <br />Client: San Joaquin County E111D <br />\\t <br />Env Fax: (805) 525-41721 Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Address: San 39aquin Co. Environmental H th Dep <br />Water Quality Division '-i �,� <br />(todney <br />° <br />.•:% <br />Attn: Estrada <br />t <br />1868 East Hazelton Ave.. <br />�y <br />Stockton, CA 95205 <br />3 <br />= <br />{ <br />Phone: (209)468-0331 Fax: <br />ul <br />h <br />Contact Person: Rodney Estrada 1 <br />�.(TM� /� <br />v <br />Q <br />Project Name: g%Sl %N • <br />a <br />Purchase Order Number: <br />C`i <br />u <br />(A <br />w <br />Quote Number: Sr 20160309-01 <br />E <br />a <br />Lu <br />¢ <br />w <br />E <br />F: <br />0 <br />0 <br />F <br />/� <br />Sampler(s) _ i���/t�l <br />X M <br />� /)►/// <br />V <br />i <br />i <br />u <br />vii <br />°. <br />O <br />Sampling Fee: Pickup Fee: <br />a <br />11ate. <br />°or <br />a <br />n� <br />Compositor Setup Date: _/_/_ Time: _/_ <br />E <br />0 <br />c <br />" <br />& <br />E <br />`o <br />�' <br />' <br />z <br />a= <br />ID <br />C <br />pZ <br />W <br />y <br />" <br />m 0 <br />U r. <br />o <br />0'q <br />u MO <br />a <br />0 <br />o", <br />u z <br />jy <br />v <br />v o <br />in <br />x <br />u <br />E <br />F. <br />x <br />v <br />u <br />Lab Number: STK 55 gn7 3-17919 <br />Tamp <br />Location Description <br />Date <br />Sampled <br />Time <br />Sam led <br />Num <br />P <br />E <br />w <br />ca <br />C1 o <br />U — <br />C� N <br />u4 - <br />U. <br />w <br />1 <br />// <br />!A/ PAl M <br />VI—2 <br />O. %C�r <br />G <br />DW <br />1 <br />1.1.1 <br />�.t e� <br />fig <br />10:30 <br />Remarks: <br />Relinquished Date: <br />-114f <br />By: Date: Time: <br />'`/ 4-oz1 /135 <br />i <br />2 / %%0 C� <br />By: Date: -Time: <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />By: Date: <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 7349473 <br />Fax: (559) 734-8435 <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Phone: (805) 392-2000 <br />Stockton, CA 95215 <br />Phone: (209) 942-0182 <br />\\t <br />Env Fax: (805) 525-41721 Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />i <br />2 / %%0 C� <br />By: Date: -Time: <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />By: Date: <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 7349473 <br />Fax: (559) 734-8435 <br />