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rMVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Field Copy (3 of 3) <br />j II IIIII IIIII MI 1111 <br />35730:02/06/2017 <br />TEST DESCRIPTION -'See Reverse side for Container, Preservative and Sampling information T <br />Client: San Joaquin County EHD <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 />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 />Attn: Rodney Estrada <br />3• <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />a <br />Contact Person: Rodney Estrada <br />¢ <br />g <br />\— <br />t7 <br />w <br />a <br />o <br />o <br />� <br />Project Name: <br />&n <br />M <br />r <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />y <br />wa' <br />¢'9 <br />w <br />� <br />F, <br />6 <br />E- <br />Sampler(s) <br />c <br />vwi <br />z <br />> <br />O <br />Q <br />.a <br />., <br />°" <br />o <br />_ <br />W <br />Sampling Fee: Pickup Fee: <br />°i <br />c <br />cC4 <br />x F <br />Compositor Setup Date: /_/ Time: _!_ <br />(E <br />z <br />O <br />0 <br />o z <br />z <br />w <br />A <br />F <br />Lab Number: STK 3-17919 <br />o <br />v <br />O <br />40. <br />c <br />b u <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />O <br />°o <br />°e <br />LE <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Coroorate 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 />