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CHAIN OF CUSTODY <br />• — Special $ www.fgUnc.com <br />MUM <br />,Field Copy (3 of 3) <br />i �illl �i VIII IIID (III 35730:02/('6/2017 TEST DESCRIPTION - See Reverse side r Container, Preservative and Sampling information <br />4 <br />Client: San Joaquin County EHD <br />i� tt } <br />(•t(trPµ`' C n Lrv,n ii,� ('n t'n.:.,., ,, ,.., tl•-w, n—I \T •.t� 4 i <br />Water Quality Division 1 <br />Attn: RodneyEstrada 3 x <br />1868 East Hzelon Ave. <br />Stockton, CA 95205 a } 3 <br />a <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada Q 2 <br />Project Name: r° <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 N_ <br />o 04 <br />w a F 00 <br />Sampler(s) E z T O Q <br />x <br />ca Q`^ w <br />Sampling Fee: Pickup Fee: S a o S , n <br />a�i <br />Compositor Setup Date: /_/ Time: /_ z O a •o z c w Q F <br />° x <br />Lab Number: STK 3-17919 o r% ii a V <br />O °a w <br />Samp Date Time -S ro <br />Location Description 4) 'Num Sampled Sampled M W U <br />F. <br />0. <br />p nv <br />N <br />1 G DW <br />Remarks: IRelinquished Date: Time: (Relinquished <br />Received By <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Date: Time: lReceived By: <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Date: Time: <br />Date: Time: IReceived By: <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 />Date: Time: <br />Date: Time: <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />