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ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <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 />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin. County EHD <br />Address: San Joaquir. Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205lu <br />A <br />Phone: 209)468-0331 Fax: <br />x <br />Contact Person: Rodney Estrada <br />¢ <br />S <br />Project Name: <br />Un <br />e <br />rn <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />c <br />W <br />P <br />Z <br />rz <br />> <br />F <br />O <br />Sampler(s)0 <br />U <br />vwi <br />Ln <br />P4 <br />0 <br />0 <br />�C6 <br />o <br />Sampling Fee: Pickup Fee: <br />C <br />a <br />C <br />; <br />c <br />a <br />Compositor Setup Date: / /_ Time: /_ <br />-- <br />—° <br />z <br />O <br />a a <br />oCIO <br />Ad <br />Lab Number: STK 3-17919 <br />0 <br />�s <br />a <br />a <br />Samp <br />Date <br />Time <br />Nutt <br />Location Description <br />Sampled <br />Sampled <br />F <br />o <br />a <br />m <br />as 0 <br />o <br />w <br />0 <br />Travel Blank <br />G <br />LBW <br />4 <br />1 <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Tiinc: <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 />