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L <br />ENVIRONMENTAL - . AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />111111111111111111111111111111111111111111 1111H111 1111 IN <br />35730:!)2/06/2017 <br />TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling <br />information <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 1 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 />a <br />Attn: Rodney Estrada <br />1.868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />° <br />a <br />Phone: (209)468-0331 Fax: <br />U <br />* <br />W <br />y <br />Contact Person: Rodney Estrada <br />A <br />Project Name: <br />L <br />w <br />W <br />° <br />L <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />000 <br />E <br />w <br />O <br />A <br />Sampler(s) <br />U <br />* <br />A! <br />L <br />o <br />x <br />a <br />o <br />a <br />O <br />^ <br />O <br />a <br />Sampling Fee: Pickup Fee: <br />O <br />rq <br />a <br />Compositor Setup Date: / / Time: /_ <br />E <br />o <br />z <br />p <br />a a <br />0 N <br />°' z <br />to <br />O <br />co <br />a <br />E <br />cn <br />E <br />°rn <br />of <br />U <br />cz <br />x <br />i1, <br />A <br />F <br />Lab Number: STK 3-17919 <br />0 <br />-S; <br />a <br />M. <br />'5 ° <br />= ca <br />o <br />N <br />° x <br />x <br />x <br />lamp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />P <br />Sampled <br />P <br />'' <br />F- <br />° <br />a <br />c° <br />as <br />0 IS <br />w O <br />° <br />U <br />N <br />c7 v <br />a <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Datc: 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 1 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 />