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CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />35731:02/06/2017 <br />r!E�MVIR6NM�TA�LiYW—,—.` <br />AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />Corporate Offices & Laboratory <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />C!ient: San Joaquin County EHD <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Undo <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 />Address: San Joaquin Co. Environmental Health Dep <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 />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 />w <br />3 <br />v <br />Contact Person: Rodney Estrada <br />Ca <br />_ <br />Project Name: q Lf 50�^I <br />I / <br />.540 <br />x <br />Purchase Order Number: t� ole►/ Cn <br />Quote Number: ST 20160309-01 <br />c <br />o <br />? <br />w <br />on <br />a <br />z, <br />E <br />V, <br />F; <br />O <br />Sampler(syi1n Govt / �� <br />/—t`C-v ��wi <br />U <br />* <br />� <br />� <br />rx <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: / / Time: ! <br />E <br />c <br />2 <br />E <br />w <br />z <br />ii <br />O <br />T <br />x <br />o �n <br />CJ <br />p <br />Lab Number: STK --w 13 5,444 3-17919 <br />u <br />C> <br />Q E <br />!Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />a° <br />m <br />m O <br />w a <br />0 <br />Travel Blank <br />Z I <br />11 lj� <br />G <br />LBWZ <br />1 <br />f <br />w�� 1✓ 1 <br />I I' `j0 <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />- 6/q/21 <br />R ' uished date• Time: <br />�/9 <br />Relinquished Date: Time: <br />! 315 <br />l 7 <br />Recet d By: Date: Time: <br />G�9� /�� <br />Received By: yae: Time: <br />Recei d By: Date: Time: <br />C,Q�I�I'�? Gl to <br />a� �7 <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. Undo <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 />