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CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />IIIIIIIIIII <br />,.317311:02/06/1017 <br />IIS IDLSt_•RIPI ON See Re\crse mde for Coniamer, PreLr%amc and Sampling <br />nllormation <br />Client: San Joaquin County EHD <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) 7349473 <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 />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />j <br />oa' <br />Ann: Rodney Estrada <br />1868 East Hazelton Ave. <br />— <br />a <br />Phone: (209)468-0331 Fax: <br />' <br />r= <br />a <br />Contact Person: Rodney Estrada <br />O <br />1 <br />Project Name: i<CI i �� 7 (� �� (/ 5 �(�n1' <br />O <br />vwi <br />7 <br />n° <br />N <br />C <br />t <br />Purchase Order Number: �` <br />U <br />m <br />3 <br />6 <br />v <br />-' <br />Quote Number: ST 20160309-01 �( �'� (� <br />8 <br />m <br />x <br />¢ <br />N <br />E <br />x <br />E- <br />w <br />E <br />m <br />c <br />O <br />w <br />Sampling Fee: Pickup Fee: <br />e <br />n <br />C <br />6 ie <br />a N <br />x H <br />CL <br />Compositor Setup Date: l I Time: 1 <br />E <br />o <br />n <br />E <br />h <br />Z <br />n <br />p <br />a <br />_ <br />N <br />°' O <br />oz <br />U= <br />N1 <br />E O <br />cz <br />u Z <br />o <br />n <br />Lab Number: STK 3-17919 <br />a3�2 <br />T� <br />o <br />� <br />F <br />U <br />Samp <br />Date <br />Timev6 <br />Num <br />Location Description <br />Sampled <br />P <br />Sampled <br />P <br />a <br />E- <br />o <br />c <br />to <br />R$ <br />Cn 0 <br />o o <br />U <br />o <br />O N <br />n <br />ii _: <br />u..1 <br />w <br />I <br />(_ <br />(( <br />G <br />DW <br />I <br />Remarks: <br />Relinquis ed Date: Time: <br />Relinquished ate: Time: <br />Relinquished Date: 'rime: <br />tl u3 <br />l /70I� <br />-1110 1 O <br />Receiveate: Time: <br />a2 � 7 211 b 3 <br />By: D te: Time: <br />RecZt/� <br />Received By: Date: Time: <br />-*o Lql <br />Corporate Offices & Laboratory <br />853 Corporation Street ` <br />Office & Laboratory <br />2500 Stagecoach Road <br />Office & Laboratory <br />563 E. Lindo <br />Office & Laboratory_ %Office <br />3442 Empresa Drive, Suite D <br />& Laboratory <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) 7349473 <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 />