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Comorate Offices & Laboratory <br />Office & Laboratory <br />Special vnnln yr vUtJ 1 vLil <br />P <br />Office & Laboratoa <br />Office & Laboratory <br />www.fgUnc.com <br />2500 Stagecoach Road <br />563 E. Lindo <br />Laboratory Copy (1 of 3) <br />Mw35730:02/06/2017 <br />Santa Paula, CA 93060 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <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) 7349473 <br />o.,,, Gam,.• ianrN IZ')r,-A47') 1 An an— tAnS1 w.)_9nAA <br />Fav f711M Qd7_r1d93 <br />Fax• 15301 343-3Rm <br />Fax: 18051783-2912 <br />Far• 15641 73d-RAIR <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />a <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />0 <br />Phone: (209)468-0331 Fax: <br />c7 <br />� <br />ce_ <br />Contact Person: Rodney Estrada\gC�f7� <br />C <br />ti <br />< <br />Project Name:. • a p t v i <br />a <br />W <br />'n <br />;qq <br />Purchase Order Number: CX i r -t A (,A U, S1 <br />Quote Number: ST 20160309-01 <br />E <br />w <br />Q <br />.. <br />U) <br />00 <br />A <br />o <br />/ <br />Sampler(s) / r,, �/ <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: _/_/_ Time: _/_ <br />v� <br />0 <br />c <br />o <br />E <br />o <br />$ <br />z <br />w <br />a? <br />O <br />V <br />6 <br />° rn <br />V <br />.= Z <br />c <br />(5 <br />u O <br />g xF- <br />d <br />e <br />E <br />Lab Number: 9TK 3-179 19 <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />X <br />F. <br />O <br />a <br />tzi <br />.5o <br />C2 <br />U -- <br />O N <br />iw z: <br />w <br />u. <br />I <br />U�l'1 1,l + <br />Z Ip.L <br />lJ•��� <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />D�`e: Time: <br />Reli 'sh Date: Time: <br />2� �t ! <br />7'shed <br />l8/xai 17a� <br />1- . <br />Rec •Vied By: Date: Time: <br />Time: <br />Received By: te:(70 <br />ceiv B ate: Ti/m�/ <br />Ara 30 <br />Comorate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratoa <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Ddve, Sulte 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) 7349473 <br />o.,,, Gam,.• ianrN IZ')r,-A47') 1 An an— tAnS1 w.)_9nAA <br />Fav f711M Qd7_r1d93 <br />Fax• 15301 343-3Rm <br />Fax: 18051783-2912 <br />Far• 15641 73d-RAIR <br />