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CHMN OF CUSTODY <br />Special www.fgUnc.com <br />Field Copy -(3 of 3) <br />IIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIlIIIIIII <br />35730:02/06/2017 <br />MW -9k <br />Client: San JoagVin County ERD <br />EIYVIMTfMENTAL <br />_ AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special www.fgUnc.com <br />Field Copy -(3 of 3) <br />IIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIlIIIIIII <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sdmpling information <br />Client: San JoagVin County ERD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />3 <br />Atm: Rodney Estrada <br />1868 East Hazelton Ave. <br />B <br />Stockton, CA 95205 <br />co <br />3 <br />n <br />Phone: (209)468-0331 Fax: <br />w <br />a <br />Contact Person: Rodney Estrada <br />A <br />_ <br />Project Name: <br />&0 <br />cd <br />En <br />Purchase Order Number: <br />a <br />3 <br />Quote Number: ST 20160309-01o <br />o <br />w <br />&nZ <br />a <br />v <br />T <br />E <br />O <br />0 <br />� <br />A <br />Sampler(s) \ <br />c <br />a° <br />O <br />v a <br />< M <br />a O <br />`moo <br />Sampling Fee: Pickup Fee: <br />� <br />x <br />fl <br />Compositor Setup Date: !_/_ Time: _/_ <br />�£ <br />0 <br />w <br />Z <br />iz <br />O <br />e <br />o <br />o z <br />5 Z <br />x <br />w <br />Q <br />F. <br />Lab Number: STK 3-17919 <br />o? <br />o N <br />c 0 <br />H II <br />a <br />v <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />F <br />a <br />co <br />O <br />U <br />LZ <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time'!— <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: fnne: <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 />