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Special CxAm OF CUSTODY <br />P www. fgUnc. com <br />Laboratory Copy (1 of 3) <br />Corporate Offices 8% Laboratory <br />853 Corporation Street <br />33730:02,06/2017 <br />ILSI DLSCRJI'l10\ Scc r cis adc I„i Cunt;uncl, I'tcxndu e'IndSatupltn_ uiRmudu�ut <br />Client: San Joaquin County EHD <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />j <br />Stockton, CA 95215 <br />Phone: (209) 942-0182 <br />Fax: (209) 942-0423 <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Visalia, CA 93291 <br />Phone: (559) 7349473 <br />Fax: (559) 734-8435 <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />3 <br />:a <br />Ann: Rodney Estrada <br />x <br />1868 East Hazelton Ave_ <br />4 <br />Stockton, CA 95205 <br />3 <br />v <br />Phone: (209)468-0331 Fax: <br />" <br />n <br />Contact Person: Rodney Estrada <br />Q <br />Project Name: <br />Purchase Order Number. <br />U <br />un <br />Z; <br />v) <br />R7`Z� <br />> <br />tou <br />9-0 <br />Quote Number: Sr 20160301 <br />o <br />x <br />Ln <br />¢ <br />Z <br />T] <br />0. <br />Q <br />Sampler(s) _ - <br />��a ULA <br />V) <br />� <br />0 <br />o <br />�� <br />¢a <br />W <br />Sampling Fee: Pickup Fee: <br />a <br />° <br />a <br />u <br />:'" <br />o <br />6. ^' <br />v) <br />F" <br />n a <br />Compositor Setup Date: _l_/_ Time: _/ <br />c <br />a <br />E <br />o <br />o <br />z <br />-E <br />p <br />6 <br />F <br />a <br />O <br />v <br />v <br />z <br />€ <br />v O <br />x <br />a <br />�z <br />v <br />v <br />n <br />I"ab Number: STK oZ .�2 <br />853 3-17919 <br />Samp <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />�s <br />$ <br />a <br />co <br />mM p <br />6 <br />U �' <br />of <br />U ^, <br />a <br />X <br />G <br />DW <br />Remarks: <br />e t uished te: Time: <br />Relin ui hed Date: Time: K <br />Relinquished Date: Time: <br />By: Dai: Time: R eate: Time: <br />ived By: <br />Received By: Date: Time: <br />7sz �� <br />:jd <br />Corporate Offices 8% Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Office & Laboratory <br />563 E. Lindo <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />q, Santa Paula, CA 93060 <br />l Phone: (805) 392-2000 <br />1� Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Stockton, CA 95215 <br />Phone: (209) 942-0182 <br />Fax: (209) 942-0423 <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Visalia, CA 93291 <br />Phone: (559) 7349473 <br />Fax: (559) 734-8435 <br />