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r <br />d,EgVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />IIIlillllllll III!IIIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII <br />35731:02/06/2017 <br />TEST DESCRIP",; ION - See Reverse side for Container. Preservative and Sampling <br />information, <br />'lient: 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 />iddress: San Joaquin Co. Environmental Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />3 <br />j <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />o. <br />'hone: (209)468-0331 Fax: <br />a <br />,ontact Person: Rodney Estrada <br />'roject Name:�° <br />'urchase �p(� A �S -Z 15 <br />U <br />Order Number: S X17 <br />ai <br />tai <br />a <br />quote Number: ST 20160309-01 <br />- <br />E <br />" <br />WQ <br />x <br />w <br />Q <br />E <br />2 <br />� <br />a <br />iam ler�,s. I <br />p �T ��' SVu'+�`' <br />1 <br />iampling Fee: Pickup Fee: <br />c <br />a. <br />c <br />-C <br />V <br />7 <br />oro <br />a <br />'ompositor Setup Date: _/ /_ Time: / <br />E <br />0 <br />�, <br />C2 <br />z <br />a <br />O <br />n <br />m <br />4 O <br />_ab Number: STK 0 ll 4f 3-17919 <br />a <br />t;'� <br />¢ E <br />amp <br />Date <br />Timer <br />Vum <br />Location Description <br />Sampled <br />Sampled <br />E~ <br />a° <br />m <br />M O <br />w <br />0 <br />Travel Blank <br />i✓ til 2 ( <br />jG <br />G <br />LBW <br />AS <br />1I <br />I�r fC? <br />G <br />DW <br />4 <br />remarks: <br />Re nquished —Date: Time: <br />R wished Date: Time: <br />Relinquished Date: Time: <br />ecei d By: Date: Time: <br />lilt; <br />Received By: Date: Time: <br />/yhVa, <br />Received By: Date: Time: <br />/j/s <br />�7� <br />I <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 / 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 />