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3730:02, 06, 21117 <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Field Copy (3 of 3) <br />IL -Si 1A. -M RIPIMN Jec k: l� 'id" 1„t ( and J�mltiut, nl nuteU i — <br />Clie t: San Joaquin County EHD <br />NMENTAL <br />E <br />==' AGRICULTURAL <br />Analytical Chemists <br />3730:02, 06, 21117 <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Field Copy (3 of 3) <br />IL -Si 1A. -M RIPIMN Jec k: l� 'id" 1„t ( and J�mltiut, nl nuteU i — <br />Clie t: San Joaquin County EHD <br />F=� <br />A <br />Adtss: San Joaquin Co. Environmental Health Dep <br />O <br />x <br />w <br />Water Quality Division <br />4 <br />a; <br />E <br />Atm: Rodney Estrada <br />a <br />x <br />H II <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3; <br />a <br />Phone: (209)468-0331 Fax: <br />w <br />x <br />Contact Person: Rodney Estrada <br />Q <br />2 <br />Project Name: <br />Purchase Order Number: <br />> <br />Cn <br />a <br />Quote Number: ST 20160309-01 <br />0 <br />¢ <br />a00 <br />O <br />c <br />Sampler(s)0 <br />vi <br />z <br />T <br />�. <br />U <br />a <br />0 <br />c a <br />d 0 <br />a' C <br />o <br />Sampling Fee: Pickup Fee: <br />$ <br />Gy <br />[ <br />o <br />04 <br />1= (V <br />M <br />Compositor Setup Date: _/_/_ Time: _/_ <br />p <br />z <br />0 <br />ii n <br />czV <br />V <br />y Z <br />x <br />Lab Number: STK 3-17919 <br />0 <br />6 <br />c <br />p^, <br />M <br />00 <br />- <br />= A <br />c o <br />lamp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />t <br />H <br />a° <br />co <br />oa O <br />U <br />t5 N <br />l <br />G <br />DW <br />1 <br />t,1.1 <br />Remarks: lRelinquished Dare <br />Received By- Date: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (605) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />uS <br />F=� <br />A <br />O <br />x <br />w <br />b <br />a; <br />E <br />a <br />a. <br />H II <br />Time: <br />Time: Received By <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Date: Time: <br />Date: Time: <br />ted Date: Time: <br />By: Date: Time: <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) 734-9473 <br />Fax: (559) 734-8435 <br />