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ENVIRONMENTAL = AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field Co0y, (3 of 3) <br />i <br />3;730:021116'2017 i <br />TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water duality Division <br />.a <br />Attn: Rodney Estrada <br />: <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />p <br />Phone: (209)468-0331 Fax: <br />w <br />Contact Person: Rodney Estrada <br />A <br />eu <br />Q <br />y <br />Project Name: <br />3' <br />Purchase Order Number: <br />WW <br />on <br />u7 <br />Quote Number: ST 20160309-01 <br />L <br />o <br />a <br />o <br />W <br />a. <br />Z <br />E <br />>, <br />H <br />O <br />00E, <br />A <br />Sampler(s) <br />U <br />ro <br />* <br />= <br />rA <br />°" <br />O <br />o <br />O <br />a <br />7 <br />QO <br />a <br />w <br />x E- <br />Sampling Fee: Pickup Fee: <br />g <br />a <br />C <br />N <br />_ <br />O c0 <br />V) <br />�-' <br />~ <br />Compositor Setup Date: _/_/_ Time: _/_ <br />Lo <br />N <br />E <br />� <br />z <br />O <br />MI. <br />E <br />N <br />= z <br />U <br />M <br />c <br />x <br />V� <br />N <br />co <br />Q <br />x <br />N <br />F" <br />x <br />Lab Number: STI£ 3-17919 <br />_., <br />0 <br />v <br />o <br />a <br />E <br />ET <br />a <br />E a. <br />Date <br />Time <br />amp <br />Num <br />Location Description <br />Sampled <br />Sampled <br />w <br />F <br />c <br />a, <br />pa <br />M O <br />^I <br />_ <br />U N <br />b <br />w _: <br />„ <br />ii <br />v <br />i1. <br />1 <br />G <br />DW <br />l <br />LLI <br />Remarks: <br />Relinquished Date: Time: Relinquished Date: Time: Relinquished D:uc: I ime: <br />I <br />Received By: Date: Time: <br />Received By: Datc: Time: <br />Received By: Date: l imc: <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />Phone: (805) 392-2000 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />Phone: (209) 942-0182 <br />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 />