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UML <br />ENVIRONMENTAL - AGRICULTURAL <br />Analytical Chemists <br />CH -AIN OF CUSTODY <br />Specialwww.fglinc.com <br />Customer Copy ( 43) <br />Corporate Offices & Laboratory <br />35730:02;06/2017 <br />TEST DESCRIPTION See Reverse side tier Container. Preservative and Sampling information <br />Client: San Joaquin County EHD <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 />Address: San Joaquino. Environmental Health Dep. <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 />Water QuaIDivision <br />Attn: Rodne g{Estrada <br />3 <br />a <br />1868 East Hazelton Ave. <br />g <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />C7 <br />W <br />au <br />Contact Person: Rodney Estrada <br />A <br />Q <br />2 <br />a <br />Project Name: <br />Purchase Order Number: "; 7 <br />U <br />w <br />Ln <br />w <br />Quote Number: ST 20160309-01 <br />n <br />o <br />w <br />a <br />z <br />d <br />T <br />;Da°o <br />A <br />Sampler(s)a, <br />.a <br />Sampling Fee: Pickup Fee: <br />c <br />o <br />a <br />o <br />Compositor Setup Date: _/_/_ Time: _/_ <br />0. <br />.4: <br />O <br />z <br />13 <br />p <br />[ <br />0 <br />o z c z <br />w <br />A <br />F <br />Lab Number: STK 3-17919 <br />0 <br />a <br />c% <br />o <br />p <br />a <br />; F <br />c <br />as <br />• = 'u <br />U x <br />�e- gip: <br />= o <br />N <br />H II <br />x <br />x <br />a <br />x <br />a <br />lamp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />led <br />Sampled led <br />P <br />" <br />H <br />o <br />a <br />w <br />w0 <br />o U <br />V� c7N <br />°' <br />I <br />G <br />DW <br />1 l,l.l <br />Remarks: <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: Time: <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 />