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WE <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special a www.fgHnc.eofn <br />Field Copy (3 of 3) <br />j <br />357301)206/2017 <br />TEST DESCRIPTION - $e'e Reverse side for Coritaitkr, 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 />Phone: (559) 734-9473 <br />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (209) 942-0423 <br />`- <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />3 <br />Attn: Rodney Estrada <br />g <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 3 <br />3 <br />n <br />f <br />Phone: (209)468-0331 Fax: <br />c? <br />A <br />Contact Person: Rodney Estrada <br />: <br />2 <br />Project Name: <br />v <br />s.. <br />7 <br />h <br />Purchase Order Number: <br />V <br />w <br />Quote Number: ST 20160309-01 <br />o <br />c <br />ti <br />x <br />w <br />a <br />E <br />_ <br />F" <br />0 <br />Sampler(s) - <br />d <br />n, <br />M <br />N <br />x <br />Sampling Fee: Pickup Fee: <br />C <br />Compositor Setup Date: / / Time: / <br />— -- <br />E <br />o <br />w <br />z <br />ii <br />O <br />Q <br />o rn <br />0 (V <br />zO <br />c L <br />M <br />z <br />Z <br />is <br />A <br />N <br />E <br />E- <br />Lab Number: STK 3-17919 <br />;amp <br />Location Description <br />Date <br />Time <br />fl <br />o <br />o N <br />C) <br />Num <br />Sampled <br />Sampled <br />E. <br />n <br />w <br />w O <br />U - <br />t7 rt <br />ii _: <br />u <br />LL <br />1 <br />G <br />DW <br />2emarks: <br />Relinquished Date: Time: Relinquished Date: Time: 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 />