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CHAIN OF CUSTODY Special www.fgUnc.com Field Copy (3 of 3) ;11:0' (16,201, _11 DLII 1yII'I I0 >.�uIL_ ,ia,•iin�ui tient: San Joaquin County EIID Relinquished Date: Time: 5W Date: Time: Relinquished F Received By: Date: Time: kddress: San Joaquin Co. Environmental Health Dep 0 Date: Timc: Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory O Water Quality Division 2500 Stagecoach Road x 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue .1 Stockton, CA 95215 Chico, CA 95926 Attn: Rodney Estrada Visalia, CA 93291 Phone: (805) 392-2000 Phone: (209) 942-0182 3 a bz Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 1868 East Hazelton Ave. Fax: (530) 343-3807 Fax: (805) 783-2912 Fax: (559) 734-8435 Stockton, CA 95205lu bx 3 0 L v 'hone: (209)468-0331 Fax: W -ontact Person: , Rodney.Estrada 0o d 'roject Name: vwi cn 'urchase Order Number: U a W 3 in p Zuote Number: ST 20160309-010 0 x a W a aYEi � o°o iampler(s),. o wi Ln z>1 p a U * d h ;o o O 9y ¢O a iampling Fee: Pickup Fee: 5 sqy p" C c = (V M ompositor Setup Date: _/_/_ Time: _/_ a a vt z O Q p 0 Z 0 ;. v N Z x -ab Number: STK 3-17919 o p^ 4 '� ^� oG = c c o Date Time amp ampNum Location Description Sampled Sampled H a oC co O U U �� I I G I DW I 1 1,1,1 remarks: Relinquished Date: Time: 5W Date: Time: Relinquished F Received By: Date: Time: Received By: Date: Time: 0 Date: Timc: Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory O 853 Corporation Street 2500 Stagecoach Road x 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue w Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, CA 93291 Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Phone: (805) 783-2940 bz Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Fax: (530) 343-3807 Fax: (805) 783-2912 Fax: (559) 734-8435 bx y G L v remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: t imr: Received By: Date: Time: Received By: Date: Time: Received By: Date: Timc: Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, CA 93291 Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Phone: (805) 783-2940 Phone: (559) 734-9473 Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Fax: (530) 343-3807 Fax: (805) 783-2912 Fax: (559) 734-8435