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ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3) <br />i <br />35730:02/06/2017 <br />TEST DESCRIPTION :.-N ,:rse side for Co twiner. Preservame pnd Sampling information y <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />s <br />Water Quality Division <br />a <br />Ann: Rodney Estrada <br />3 <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />d <br />Phone: (209)468-0331 Fax: <br />P4 <br />Contact Person: Rodney Estrada w <br />¢ <br />E <br />Project Name:cd <br />3 <br />Purchase Order Number: <br />Quote Number: ST 20160309-0100 <br />y <br />w <br />d <br />rn <br />x <br />a <br />@ <br />W <br />Z <br />v <br />o <br />F <br />A <br />Sampler(s) } — (r <br />. Alj <br />U <br />O <br />p' <br />O <br />* <br />a <br />O <br />do <br />$ <br />w <br />Sampling Fee: Pickup Fee: <br />Composit r Setup Date: _/ / Time: _/_ <br />8 <br />0 <br />c, <br />o <br />z <br />ra <br />O <br />tx •� <br />o <br />0 <br />" <br />= <br />o z <br />v <br />� <br />°z <br />x <br />•o z <br />v <br />Lab Number: STK 3-17919 <br />p <br />� <br />rA <br />0 <br />K <br />a <br />a> <br />S <br />H <br />�Oa <br />'O <br />= of <br />�a <br />c o <br />H II <br />= x <br />n <br />u <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />P <br />Sampled <br />P <br />°' <br />E- <br />a <br />OC <br />S <br />W O <br />U <br />0 <br />a <br />w <br />1 <br />G <br />DW <br />Remarks: <br />Relinglushed Date: Time: Relinquished Date: Time: Relinquished Duce: Time: <br />Receivedate Time: <br />Received By: Datc: Time: <br />Received By: Date: 1 ime: <br />�i 114 o/'�) <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 />