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Special CHMN OF CUSTODY <br />p . www.fgUnc.com <br />Customer Copy (2 of 3) <br />IIIIIIII'III'IIIIIIIIIIIII1IIIIIIII11IN1111111IIII'IIIIII <br />35730:02/06/2017 <br />1 `.:ST DESCRIPTION - SeL Reverse side for Container. Preservative and Sampling <br />information <br />ENVIRONMENTAL <br />—- AGRICULTURAL <br />Analytical Chemists <br />Special CHMN OF CUSTODY <br />p . www.fgUnc.com <br />Customer Copy (2 of 3) <br />IIIIIIII'III'IIIIIIIIIIIII1IIIIIIII11IN1111111IIII'IIIIII <br />35730:02/06/2017 <br />1 `.:ST DESCRIPTION - SeL Reverse side for Container. Preservative and Sampling <br />information <br />Client: San Joaquin County EHD t <br />S <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />3 <br />a <br />Attn: Rodney Estrada <br />y. <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a; <br />Phone: (209)468-0331 Fax: <br />c7 <br />w <br />rn <br />Contact Person: Rodney Estrada <br />A <br />Q <br />Project Name: r 1 ,_;, _ �: <br />O <br />vwi <br />v� <br />Purchase Order Number: <br />w <br />Quote Number: ST 20160309-01 <br />o <br />w <br />n' <br />c <br />W <br />a <br />fi <br />g <br />o0 0 <br />Q <br />Samplers)W)O <br />•, <br />a <br />t t, . iL}• <br />Sampling Fee: Pickup Fee: <br />5 <br />; <br />c <br />a <br />w <br />Q <br />E <br />z <br />0 <br />x u <br />°—�' <br />Compositor Setup Date: / 1 Time: / <br />0 <br />c <br />E <br />� <br />ii <br />E r� <br />0 <br />C> <br />UG <br />c z <br />x <br />is <br />Q <br />F <br />Lab Number: STK 3-17919 <br />0 <br />�s <br />0 <br />w <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />' <br />o <br />� 'B <br />1 <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 />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 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 />