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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.folinc.com <br />Customer Copy (2 of 3) <br />Corporate Offices & Laboratory <br />3;730:02 1Nv 2017 <br />TF,ST DESCR17PTION - See Reverse. side for Container, Preservative ano )ampung <br />uuunnauMI <br />Client: San Joaquin County EHD <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <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) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />Attn: Rodney Estrada <br />v <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />=° <br />a <br />Phone: (209)468-0331 Fax: <br />Contact Person: Pdney Estrada <br />Cn <br />Project Name: �� �, _ '� ; �, i. r�, - :_�_ <br />O <br />W <br />C4 <br />2 <br />a <br />Purchase Order Number: <br />Purchase <br />x <br />Quote Number: ST 20160309-01 <br />o <br />w <br />d <br />,, <br />a <br />N <br />o <br />a4 <br />> <br />O <br />o <br />F <br />A <br />Sampler(s) <br />vWi <br />U <br />.2a <br />Sampling Fee: Pickup Fee: <br />5 <br />°" <br />c <br />a' � <br />o <br />Compositor Setup Date: / / Time: / <br />--_ -- <br />E <br />a <br />z <br />O <br />x <br />09:6 <br />z <br />z <br />�,�, O <br />C%. <br />z <br />A <br />E <br />F <br />Lab Number: STK 3-17919 <br />0rn <br />b <br />� <br />0 <br />c <br />ii <br />V <br />'3 <br />ao <br />a= <br />c o <br />F II <br />x <br />'amp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />'u <br />' <br />° <br />M <br />`" <br />CO <br />° r" <br />0 w,M <br />n <br />1 <br />G <br />DW <br />2emarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: lime: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <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) 734-9473 <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 />