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Special CHAIN OF CUSTODY <br />A www.fg"C.com <br />Laboratory Copy (1 of 3) <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />MM <br />Office & Laboratory <br />ENVIRONMENTAL <br />- AGRICULTURAL <br />Analytical Chemists <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Special CHAIN OF CUSTODY <br />A www.fg"C.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 />Client: San Joaquin County EHD <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 />Address: San Joaquin Co. Environmental Health Dep <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 />Water Quality Division <br />3 <br />a <br />Attn: Rodney Estrada <br />x <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />c7 <br />w <br />3 <br />Contact Person: Rodney Estrada <br />Q <br />Q21pE" <br />Project Name: <br />1 <br />3 <br />Purchase Order Number: �� <br />; <br />Quote Number: ST 20160309-01 <br />o <br />z <br />E <br />O <br />Sampler(s)5 <br />�` ��lti ��U F � <br />x <br />% <br />L <br />o <br />O <br />5 <br />c <br />Sampling Fee: Pickup Fee: <br />c <br />1 <br />C <br />= <br />o <br />a <br />Compositor Setup Date: / / Time: <br />E <br />a <br />z <br />O <br />0 <br />c <br />Lab Number: STK 3-17919 <br />0 <br />O <br />Cn <br />; <br />a <br />ro <br />a <br />T <br />� <br />'� 1� <br />C)O <br />07 <br />Q E <br />Samp <br />Date <br />Time <br />Location on Description <br />Sampled <br />Sampled <br />�u <br />H <br />a <br />p <br />w <br />0 <br />Travel Blank <br />��,., -• <br />='� `_ .> �' <br />G <br />LBW <br />Remarks: <br />Relinquished Date: Time: <br />Re quished Date: Time: <br />R to uish Dar. Te: <br />�1 O UD <br />Received By: Date: Time: <br />Received By ate: Time: <br />ceiv By Date:rime: <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 />