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ME <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3 <br />illi <br />35730:0-1,0 2017 <br />1 LN I l-si- Rll' I ION Sec R nc .,iuc lul t "m.uncl. i'rc.,ri %au\e and S'unpling <br />a 'rn ni.ii L <br />Iluilillllihu�Jfi <br />Client: San JoaquinCount EHD <br />Address: San Joaquin Co. E ironmental Health Dep <br />Water Quality Divison <br />a <br />Attn: Rodney Estrada <br />3 <br />a <br />1868 East HazeltoAve. <br />ro <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />Contact Person: odney ,Estrada <br />lti <br />Ui J <br />Project Name: <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />A <br />N <br />W <br />n" <br />vi <br />°' <br />a <br />c <br />z <br />ti <br />o <br />00 <br />F- <br />A <br />Sampler(s) <br />o <br />Cn <br />> <br />a <br />on <br />o O <br />°" <br />S <br />� O <br />0° <br />W <br />Sampling Fee: Pickup Fee: <br />5 <br />; <br />oP <br />— <br />*ANN„ <br />a <br />Compositor Setup Date: _/_/_ Time: _/ <br />d <br />`E <br />yO <br />£ <br />z <br />rJ' <br />O <br />�i U <br />a <br />O <br />N td <br />.o Z <br />U <br />td M <br />c z <br />x <br />'D Z <br />V <br />E <br />Lab Number: STK 3-17919 <br />0 <br />L, <br />T <br />lu O <br />a <br />40. o <br />a <br />o <br />x <br />a <br />o <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />FT- <br />a <br />m O <br />U <br />C7 N <br />is. Q <br />s-7- <br />w <br />1 <br />G <br />DW <br />Remarks: <br />Requishcd Date: Time: <br />Relinquished Dale: Time: <br />Relinquished Date: Timc: <br />�A <br />Receive y: ate: Time: <br />Received By: Date: Time: <br />Received By: Date: i'imc: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa'Paula, CA 93060 Stockton, CA 95215 <br />Phone: M05) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <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 />