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ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />_ CHMN OF CUSTODY <br />Special www.fglbw.com <br />Field Copy (3 of 3) <br />1111111111 lu IN <br />35730:0210612017 <br />TEST DESCRIPTION See Reverse side for Container. Preservative a i Sampling information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. EnKironmental Health Dep <br />Water Quality Division <br />3 <br />a <br />Attn: Rodney Estrada <br />V <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />w <br />�_ <br />Contact Person: Rodney Estrada <br />A <br />d <br />Project Name: <br />c7 <br />Purchase Order Number: <br />a <br />w <br />Quote Number: ST 20160309-01 <br />¢ <br />EQ <br />0 <br />a <br />� <br />z <br />Samplers) <br />o <br />U <br />cr, <br />a <br />O <br />El <br />-i <br />O <br />` <br />0 <br />`u <br />W <br />Sampling Fee: Pickup Fee:Cna <br />.. <br />Compositor Setup Date: / / Time: <br />--- <br />E <br />z <br />O <br />o <br />o� <br />u Z <br />o <br />U <br />O <br />�z <br />z <br />A <br />E - <br />Lab Number: STK 3-17919 <br />o <br />� <br />w <br />a. <br />a <br />o o <br />s <br />o <br />F II <br />Date <br />Time <br />amp <br />Num <br />Location Description <br />p <br />Sampled <br />Sampled <br />T <br />E <br />c <br />a <br />CC <br />C1 O <br />U -� <br />� <br />C7 c� <br />a <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Dace: Time: Relinquished <br />Dale: 1'im <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: 1111e <br />CorRorate 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 />