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ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAiri OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />i111111111111111111111111111111 IN <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling <br />information <br />,'Dent: San Joaquin County EHD <br />y <br />,address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />3 <br />a <br />Atm: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />C7 <br />* <br />A <br />x <br />Contact Person: Rodney Estrada <br />R <br />: <br />Project Name: <br />vi <br />in <br />Purchase Order Number: <br />a <br />w <br />Quote Number: ST 20160309-01 <br />N <br />o <br />y <br />¢ <br />z <br />T <br />P4 <br />Q <br />Sampler(s) <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: / /— Time: _/— <br />-- <br />Cn <br />0 <br />o <br />E <br />Z <br />a <br />O <br />a <br />Q <br />.. <br />p <br />Lab Number: STI{ 3-17919 <br />0 <br />a <br />o <br />0 <br />'� <br />k> <br />a E <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />F. <br />a <br />M <br />w 0 <br />w 4 <br />0 <br />Travel Blank <br />G <br />LBW <br />4 <br />I <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Daic: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: D;uc: 1 ime: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <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 />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />